Organization
RENAL PHYSICIANS OF GEORGIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS O MARTINEZ MD (PRESIDENT)
(478) 741-2150
Entity
Organization
Contact information
Practice address
165 EMERY HWY, 100, MACON, GA 31217-3666
(478) 741-2150
(478) 741-2208
Mailing address
165 EMERY HWY, 100, MACON, GA 31217-3666
(478) 741-2150
(478) 741-2208
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000459841L
—
GA
01
—
CJ4042
RAILROAD MEDICARE GROUP
GA
Enumeration date
08/04/2005
Last updated
05/02/2024
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