Organization
GEORGIA MEDICAL AND NEPHROLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYRIACUS ANAELE MD (CEO)
(770) 226-4053
Entity
Organization
Contact information
Practice address
4450 CALIBRE XING NW STE 1126, ACWORTH, GA 30101-4104
(770) 226-4053
Mailing address
4450 CALIBRE XING NW STE 1126, ACWORTH, GA 30101-4104
(770) 226-4053
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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