Organization
COWRY KIDNEY CARE DOUGLASVILLE LLC
Active
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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