Organization
SOUTH ATLANTA KIDNEY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAINDEL BELIZAIRE (MEDICAL DIRECTOR)
(770) 994-0171
Entity
Organization
Contact information
Practice address
2221 PEACHTREE RD NE, SUITE D195, ATLANTA, GA 30309-1148
(770) 994-0171
(770) 507-4190
Mailing address
195 UPPER RIVERDALE RD, SUITE A, RIVERDALE, GA 30274
(770) 994-0171
(770) 507-4190
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
BB8098534
GA
Other
Enumeration date
04/18/2007
Last updated
06/24/2008
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