Organization
KIDNEY CARE CENTER GWINNETT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORUFU OLATUNJI ALAUSA MD (CHIEF MEDICAL DIRECTOR)
(815) 741-6830
Entity
Organization
Contact information
Practice address
601A PROFESSIONAL DR STE 235, LAWRENCEVILLE, GA 30046-7697
(470) 292-3957
(470) 292-3683
Mailing address
PO BOX 3877, JOLIET, IL 60434-3877
(815) 741-6830
(815) 941-1806
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
09/15/2022
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