Organization
SOUTHSIDE KIDNEY CLINICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIM A THORPE (LPN OFFICE MANAGER)
(770) 996-6446
Entity
Organization
Contact information
Practice address
3580 CAMERON PARKWAY, STOCKBRIDGE, GA 30281
(770) 996-6446
(770) 996-6279
Mailing address
3580 CAMERON PARKWAY, STOCKBRIDGE, GA 30281
(770) 996-6446
(770) 996-6279
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
GA
Other
Enumeration date
07/16/2006
Last updated
01/14/2008
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