Organization
COWRY KIDNEY CARE DOUGLASVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHINEDU PATRICK NWEKE MD (CEO)
(470) 227-8130
Entity
Organization
Contact information
Practice address
8570 HOSPITAL DR, DOUGLASVILLE, GA 30134-2413
(470) 227-8130
(470) 747-7588
Mailing address
1720 MARS HILL RD NW STE 120-380, ACWORTH, GA 30101-7127
(470) 227-8130
(470) 747-7588
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2021
Last updated
06/26/2022
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