Organization
KIDNEY CARE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFIQ EL HAMMALI (DR)
(770) 577-4825
Entity
Organization
Contact information
Practice address
6095 PROFESSIONAL PKWY STE B205, DOUGLASVILLE, GA 30134-5611
(770) 577-4825
Mailing address
6095 PROFESSIONAL PKWY STE B205, DOUGLASVILLE, GA 30134-5611
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/05/2015
Last updated
12/01/2015
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