Organization
ATEKHA NEPHROLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COURAGE A ATEKHA M.D. (PHYSICIAN)
(912) 764-8396
Entity
Organization
Contact information
Practice address
1030 BERMUDA RUN, STATESBORO, GA 30458-0858
(912) 764-8396
(912) 764-7188
Mailing address
1030 BERMUDA RUN, STATESBORO, GA 30458-0858
(912) 764-8396
(912) 764-7188
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
049266
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000933413K
—
GA
05
—
000933413L
—
GA
05
—
000933413M
—
GA
05
—
000933413N
—
GA
05
—
000933413O
—
GA
05
—
000933413P
—
GA
Enumeration date
03/14/2007
Last updated
02/09/2016
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