Organization
GEORGIA QUALITY KIDNEY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM G PAXTON MD, PHD (MANAGING MEMBER)
(770) 339-4225
Entity
Organization
Contact information
Practice address
170 CAMDEN HILL ROAD, SUITE F, LAWRENCEVILLE, GA 30046
(770) 339-4225
(770) 339-4797
Mailing address
170 CAMDEN HILL RD, SUITE F, LAWRENCEVILLE, GA 30046-7418
(770) 339-4225
(770) 339-4797
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
046206
GA
207RN0300X
Nephrology Physician
Primary
—
GA
Other
Enumeration date
05/13/2010
Last updated
06/25/2014
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