Organization
CRISP MEDICAL AND KIDNEY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRILATHA NADIPINENI MD (MD OWNER)
(478) 953-0024
Entity
Organization
Contact information
Practice address
401 E 4TH AVE, CORDELE, GA 31015-3620
(478) 953-0024
(478) 953-0675
Mailing address
401 E 4TH AVE, CORDELE, GA 31015-3620
(478) 953-0024
(478) 953-0675
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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