Organization
NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC
Active
Other names
Nephrology Medical Associates of Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY E GABRIEL (VICE PRESIDENT & CONTROLLER)
(303) 626-6000
Entity
Organization
Contact information
Practice address
170 CAMDEN HILL RD, SUITE F, LAWRENCEVILLE, GA 30045-7418
(770) 339-4225
(770) 339-4797
Mailing address
1627 COLE BLVD BLDG 182ND, LAKEWOOD, CO 80401-3315
(303) 626-6000
(866) 352-3987
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300043495A
—
GA
Enumeration date
06/07/2006
Last updated
11/13/2008
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