Individual
FABIAN ANDRES ALTAMIRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
619 S 8TH ST STE 100, GRIFFIN, GA 30224-4260
(678) 248-2899
(770) 233-4824
Mailing address
619 S 8TH ST, GRIFFIN, GA 30224-4260
(678) 248-2899
(770) 233-4824
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
111175
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/11/2026
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