Organization
EAGLES LANDING NEPHROLOGY AND HYPERTENSION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUDAMANI RAO POLKAMPALLY MD (OWNER)
(770) 415-5889
Entity
Organization
Contact information
Practice address
225 COUNTRY CLUB DR STE 140, STOCKBRIDGE, GA 30281-7392
(770) 415-5889
(770) 415-5890
Mailing address
225 COUNTRY CLUB DR STE 140, STOCKBRIDGE, GA 30281-7392
(770) 415-5889
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
02/04/2016
Last updated
04/30/2020
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