Organization
PEACH STATE NEPHROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONU GUPTA SINGH MD (OWNER)
(678) 371-4281
Entity
Organization
Contact information
Practice address
619 S 8TH ST STE 100, GRIFFIN, GA 30224-4260
(678) 248-2899
Mailing address
619 S 8TH ST STE 100, GRIFFIN, GA 30224-4260
(678) 248-2899
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
07/18/2007
Last updated
06/05/2020
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