Organization
ATHENS KIDNEY CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZUBUEZE AFAM ADOGU M.D., PH.D. (PRESIDENT)
(706) 543-6397
Entity
Organization
Contact information
Practice address
1440 N CHASE ST, ATHENS, GA 30601-1850
(706) 543-6397
(706) 227-2116
Mailing address
1440 N CHASE ST, ATHENS, GA 30601-1850
(706) 543-6397
(706) 227-2116
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD000999
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000731618D
—
GA
05
—
000731618E
—
GA
Enumeration date
10/06/2006
Last updated
12/26/2008
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