Organization
RENAL HYPERTENSION CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKKARAJU V.S. SARMA M.D., (PRESIDENT)
(912) 384-7210
Entity
Organization
Contact information
Practice address
190 WESTSIDE DR, B, DOUGLAS, GA 31533-3533
(912) 384-7210
(912) 384-5130
Mailing address
PO BOX 2650, DOUGLAS, GA 31534-2650
(912) 384-7210
(912) 384-5130
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00257463A
—
GA
05
—
00257463E
—
GA
Enumeration date
07/21/2006
Last updated
07/10/2007
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