Organization
AUGUSTA RENAL PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LYNN WHITLOW M.D. (PRESIDENT/CEO)
(706) 863-6637
Entity
Organization
Contact information
Practice address
1109 MEDICAL CENTER DR, BUILDING #5, AUGUSTA, GA 30909-6633
(706) 863-6637
(706) 863-6638
Mailing address
1109 MEDICAL CENTER DR, BUILDING #5, AUGUSTA, GA 30909-6633
(706) 863-6637
(706) 863-6638
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPA727
—
SC
Enumeration date
06/09/2006
Last updated
04/22/2020
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