Organization
ATHENS KIDNEY CENTER, PC
Active
Parent organization
ATHENS KIDNEY CENTER, PC
Other names
Madison Kidney Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATHENS KIDNEY CENTER, PC
Authorized official
DR. AZUBUEZE AFAM ADOGU M.D., PH.D. (PRESIDENT)
(706) 543-6397
Entity
Organization
Contact information
Practice address
1311 ATLANTA HWY, MADISON, GA 30650-2069
(706) 343-1180
(706) 343-1183
Mailing address
1311 ATLANTA HWY, MADISON, GA 30650-2069
(706) 343-1180
(706) 343-1183
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD000759
GA
Other
Enumeration date
10/06/2006
Last updated
10/15/2009
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