Organization
CARROLL COUNTY NEPHROLOGY LLC
Active
Other names
CARROLL COUNTY NEPHROLOGY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA J ORIG MD (OWNER)
(770) 832-0429
Entity
Organization
Contact information
Practice address
157 CLINIC AVE, SUITE 203, CARROLLTON, GA 30117-4454
(770) 832-0429
(770) 838-9108
Mailing address
157 CLINIC AVE, SUITE 203, CARROLLTON, GA 30117-4454
(770) 832-0429
(770) 838-9108
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
044561
GA
Other
Enumeration date
11/09/2007
Last updated
02/01/2008
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