Organization
ATHENS NEPHROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAUTAM DASGUPTA MD (MEDICAL DIRECTOR)
(706) 546-0083
Entity
Organization
Contact information
Practice address
2047 PRINCE AVE, ATHENS, GA 30606-6033
(706) 546-0083
(706) 613-9205
Mailing address
2047 PRINCE AVE, ATHENS, GA 30606-6033
(706) 546-0083
(706) 613-9205
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
03/31/2006
Last updated
08/22/2020
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