Organization
SOUTHWEST ATLANTA NEPHROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM H CLEVELAND II M.D. (PRESIDENT)
(404) 696-7300
Entity
Organization
Contact information
Practice address
3620 M L KING JR DR SW, ATLANTA, GA 30331-3711
(404) 696-7300
(404) 699-3514
Mailing address
3620 M L KING JR DR SW, ATLANTA, GA 30331-3711
(404) 696-7300
(404) 699-3514
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
017375
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154733
BCBS
GA
05
—
55000490A
—
GA
Enumeration date
05/15/2006
Last updated
09/27/2010
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