Organization
NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS JOHNSON (DIRECTOR)
(303) 626-6239
Entity
Organization
Contact information
Practice address
1627 COLE BLVD BLDG 18, LAKEWOOD, CO 80401-3315
(303) 626-6239
(866) 917-5396
Mailing address
14546 OLD SAINT AUGUSTINE RD STE 301, JACKSONVILLE, FL 32258-5472
(303) 626-6239
(866) 917-5396
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
03/27/2006
Last updated
12/01/2011
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