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Northwest Nephrology Clinic
Specialist in Decatur, Georgia
NPI 1215052261

Northwest Nephrology Clinic is a Specialist based in Decatur, GA. Northwest Nephrology Clinic practices in Decatur, GA. The NPI Number for Northwest Nephrology Clinic is 1215052261 and holds a License No. 028761 (Georgia).

The current practice location address for Northwest Nephrology Clinic is 5255 Snapfinger Park Dr, Decatur, GA and can be reached out via phone at 770-981-2211.

Location: 5255 Snapfinger Park Dr, Decatur, GA, 30035-4084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215052261
Provider Name
Northwest Nephrology Clinic
Credential
Provider Entity Type
Organization
Address
5255 Snapfinger Park Dr, Decatur, GA, 30035-4084
Phone Number
770-981-2211
Fax Number
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000702281G 05 GA
103863411B 05 GA
300030041B 05 GA
103863411A 05 GA
000441306E 05 GA
institution
Provider Business Practice Location Address Details
Address
5255 Snapfinger Park Dr
City
Decatur
State
Georgia
Zip
30035-4084
Phone Number
770-981-2211
Fax Number
person
Provider Business Mailing Address Details
Address
5255 Snapfinger Park Dr
City
Decatur
State
Georgia
Zip
30035-4084
Phone Number
770-981-2211
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
028761 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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