Organization
KIDNEYCLINIC OF ATHENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMAD UDDIN AHMED MD (PRESIDENT)
(706) 543-3130
Entity
Organization
Contact information
Practice address
385 HAWTHORNE LN STE 200, ATHENS, GA 30606-2100
(706) 543-3130
Mailing address
385 HAWTHORNE LN STE 200, ATHENS, GA 30606-2100
(706) 543-3130
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
045157
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP4937
MEDICARE,GROUP
GA
Enumeration date
04/24/2007
Last updated
09/06/2023
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