Organization
NEPHRON CORPORATION
Active
Organization
NEPHRON CORPORATION
Active
Other names
Snellville Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRTI K SHAH MD (MEDICAL DIRECTOR)
(770) 962-1231
Entity
Organization
Contact information
Practice address
2290 OAK RD, SUITE 102, SNELLVILLE, GA 30078-2355
(770) 962-1231
(678) 325-3345
Mailing address
605 OLD NORCROSS ROAD, LAWRENCEVILLE, GA 30046
(770) 962-1231
(678) 325-3345
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2009
Last updated
04/07/2015
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