Individual
JACK WORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
552 PONCE DE LEON AVE NE, DIALYSIS ACCESS CTR OF ATLANTA - NEPHROLOGY, ATLANTA, GA 30308-1806
(404) 872-3655
Mailing address
552 PONCE DE LEON AVE NE, DIALYSIS ACCESS CTR OF ATLANTA - NEPHROLOGY, ATLANTA, GA 30308-1806
(404) 872-3655
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
015442
GA
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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