Organization
ATHENS KIDNEY CENTER, P.C.
Active
Parent organization
ATHENS KIDNEY CENTER, P.C..
Other names
LAKE HARTWELL KIDNEY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATHENS KIDNEY CENTER, P.C..
Authorized official
DR. AZUBUEZE A ADOGU MD (PRESIDENT / CEO)
(706) 543-6397
Entity
Organization
Contact information
Practice address
98 ARTHUR STREET, HARTWELL, GA 30643-1804
(706) 543-6397
Mailing address
98 ARTHUR STREET, HARTWELL, GA 30643-1804
(706) 543-6397
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136746A
—
GA
Enumeration date
10/01/2010
Last updated
06/11/2015
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