Organization
PEACHTREE NEPHROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANUPAMA GOWDA MD (OWNER)
(404) 410-3970
Entity
Organization
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD NE, SUITE 600, ATLANTA, GA 30342-1731
(404) 410-3970
(404) 256-0040
Mailing address
5673 PEACHTREE DUNWOODY RD NE, SUITE 600, ATLANTA, GA 30342-1731
(404) 410-3970
(404) 256-0040
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
053746
GA
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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