Organization
INTERNAL MEDICINE & NEPHROLOGY ASSOCIATES,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEEKI N KUPPUSWAMY M.D. (DOCTOR)
(706) 678-1538
Entity
Organization
Contact information
Practice address
212 HOSPITAL DR, WASHINGTON, GA 30673-5619
(706) 678-1538
(706) 678-5330
Mailing address
212 HOSPITAL DR, WASHINGTON, GA 30673-5619
(706) 678-1538
(706) 678-5330
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
020451
GA
207R00000X
Internal Medicine Physician
Primary
020451
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000181937A
—
GA
Enumeration date
03/23/2007
Last updated
03/04/2013
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