Organization
NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA, LLC
Active
Other names
Southern Kidney Care
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE PETERSON (VP OF OPERATIONS)
(205) 983-1120
Entity
Organization
Contact information
Practice address
3570 GRANDVIEW PKWY STE 2, BIRMINGHAM, AL 35243-2064
(205) 354-2100
(866) 343-6766
Mailing address
1840 E. RAY ROAD, CHANDLER, AZ 85225
(205) 354-2100
(866) 343-6766
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
12/27/2012
Last updated
07/21/2022
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