Organization
ATLANTA KIDNEY SPECIALISTS LLC
Active
Organization
ATLANTA KIDNEY SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ SESHAN M.D. (PRESIDENT)
(470) 629-1900
Entity
Organization
Contact information
Practice address
130 MEDICAL WAY STE D, STOCKBRIDGE, GA 30281-9088
(470) 419-4000
(678) 671-0700
Mailing address
130 MEDICAL WAY STE D, STOCKBRIDGE, GA 30281-9088
(470) 419-4000
(678) 671-0700
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003144035A
—
GA
Enumeration date
07/27/2016
Last updated
05/30/2023
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