Organization
GEORGIA KIDNEY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIYADH R AL-RUBAYE MD (OWNER)
(404) 731-6033
Entity
Organization
Contact information
Practice address
3382 GRACE FARM LN, BUFORD, GA 30519
(404) 731-6033
(478) 772-3303
Mailing address
2725 HAMILTON MILL RD, STE 500 # 328, BUFORD, GA 30519
(404) 731-6033
(478) 772-3303
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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