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Organization

KIDNEY CLINIC CORDELE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA H LEPLEY (SECRETARY AND OPERATIONS MANAGER)
(615) 969-7391
Entity
Organization

Contact information

Practice address
106 W 4TH AVE, CORDELE, GA 31015-3214
(615) 695-9292
Mailing address
512 AUTUMN SPRINGS CT STE D, FRANKLIN, TN 37067-2847
(615) 695-9292

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
03/26/2021
Last updated
08/29/2023
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