Organization
DUBLIN NEPHROLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAISE ANTHONY WIDMER M.D. (MANAGING OFFICER)
(478) 272-9688
Entity
Organization
Contact information
Practice address
107 FAIRVIEW PARK DR, DUBLIN, GA 31021-2501
(478) 272-9688
(478) 275-9446
Mailing address
107 FAIRVIEW PARK DR, DUBLIN, GA 31021-2501
(478) 272-9688
(478) 275-9446
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
050097
GA
Other
Enumeration date
08/23/2006
Last updated
02/19/2008
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