Organization
NORTHSIDE NEPHROLOGY,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWARAKINATH HARISH M.D (OWNER/PHYSICIAN)
(678) 455-7748
Entity
Organization
Contact information
Practice address
1445 HAW CREEK CIR, 504, CUMMING, GA 30041-6569
(678) 455-7748
(678) 455-7751
Mailing address
1445 HAW CREEK CIR, 504, CUMMING, GA 30041-6569
(678) 455-7748
(678) 455-7751
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
051229
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00959406E
—
GA
Enumeration date
07/19/2006
Last updated
03/01/2013
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