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Organization

GEORGIA RENAL ASSOCIATES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SRILAKSHMI REBALA MD (PHYSICIAN/OWNER)
(706) 546-7484
Entity
Organization

Contact information

Practice address
1500 OGLETHORPE AVE, SUITE 500C, ATHENS, GA 30606-2179
(706) 546-7484
(706) 546-7488
Mailing address
PO BOX 7335, ATHENS, GA 30604-7335
(706) 546-7484
(706) 546-7488

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
051081
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
261448399A
GA
Enumeration date
05/13/2008
Last updated
09/10/2025
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