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Diversified Renal Group Llc
Nephrology Physician in Jackson, Mississippi
NPI 1184792038

Diversified Renal Group Llc is a Nephrology Physician based in Ridgeland, MS and is specialized in Nephrology. Diversified Renal Group Llc practices in Jackson, MS. The NPI Number for Diversified Renal Group Llc is 1184792038 and holds a License No. (Mississippi).

The current practice location address for Diversified Renal Group Llc is 5903 Ridgewood Rd, Jackson, MS and can be reached out via phone at 601-899-3340 and via fax at 601-899-3343. You can also correspond with Diversified Renal Group Llc through the mailing address at PO BOX 2057, RIDGELAND, MS - 39158 (mailing address contact number: 601-899-3340).

Location: 5903 Ridgewood Rd, Jackson, MS, 39158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184792038
Provider Name
Diversified Renal Group Llc
Credential
Provider Entity Type
Organization
Address
5903 Ridgewood Rd, Jackson, MS, 39158
Phone Number
601-899-3340
Fax Number
601-899-3343
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09014813 05 MS
institution
Provider Business Practice Location Address Details
Address
5903 Ridgewood Rd
City
Jackson
State
Mississippi
Zip
39211
Phone Number
601-899-3340
Fax Number
601-899-3343
person
Provider Business Mailing Address Details
Address
5903 Ridgewood Rd
City
Jackson
State
Mississippi
Zip
39211
Phone Number
601-899-3340
Fax Number
601-899-3343
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
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Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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