Organization
OCMULGEE INTERNAL MEDICINE AND NEPHROLOGY, LLC
Active
Other names
Ocmulgee Internal Medicine and Nephrology
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE HESTER (CFO)
(478) 448-4050
Entity
Organization
Contact information
Practice address
911 PLAZA AVE, EASTMAN, GA 31023-6785
(111) 111-1111
Mailing address
911 PLAZA AVE, EASTMAN, GA 31023-6785
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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