Organization
ATLANTA SOUTH NEPHROLOGY,PC
Active
Other names
Southeast Kidney Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUHAMMED A MUHAMMEDI MD (CEO)
(404) 761-0819
Entity
Organization
Contact information
Practice address
1275 CLEVELAND AVE, EAST POINT, GA 30344-3433
(404) 761-0819
(047) 682-3134
Mailing address
1275 CLEVELAND AVE, EAST POINT, GA 30344-3433
(404) 761-0819
(404) 768-2313
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0441911A
—
GA
05
—
157444445A
—
GA
05
—
57785870A
—
GA
Enumeration date
01/31/2007
Last updated
10/23/2019
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