Organization
CARROLL COUNTY NEPHROLOGY PC
Active
Other names
Carroll County Nephrology LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDY V BEASLEY (BILLING & CODING)
(770) 832-0429
Entity
Organization
Contact information
Practice address
157 CLINIC AVENUE, SUITE 203, CARROLLTON, GA 30117
(770) 832-0429
(770) 838-9108
Mailing address
157 CLINIC AVENUE, SUITE 203, CARROLLTON, GA 30117
(770) 832-0429
(770) 838-9108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
01/31/2008
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