Organization
NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC
Active
Other names
Nebraska Kidney Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERON FRANK (GENERAL MANGER/VICE PRESIDENT)
(310) 536-2402
Entity
Organization
Contact information
Practice address
307 N 46TH ST, LINCOLN, NE 68503-3714
(402) 466-8259
(866) 891-4864
Mailing address
2000 16TH ST, DENVER, CO 80202-5117
(303) 876-7243
(866) 917-5396
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025093700
—
NE
Enumeration date
06/07/2006
Last updated
01/07/2013
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