location
search-icon
institution
Valdosta Kidney Clinic, Llc
Specialist in Valdosta, Georgia
NPI 1215109087

Valdosta Kidney Clinic, Llc is a Specialist based in Valdosta, GA. Valdosta Kidney Clinic, Llc practices in Valdosta, GA. The NPI Number for Valdosta Kidney Clinic, Llc is 1215109087 and holds a License No. 054594 (Georgia).

The current practice location address for Valdosta Kidney Clinic, Llc is 410 Cowart Ave, Valdosta, GA and can be reached out via phone at 229-244-6544 and via fax at 229-241-9744.

Location: 410 Cowart Ave, Valdosta, GA, 31604-2267
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215109087
Provider Name
Valdosta Kidney Clinic, Llc
Credential
Provider Entity Type
Organization
Address
410 Cowart Ave, Valdosta, GA, 31604-2267
Phone Number
229-244-6544
Fax Number
229-241-9744
Provider Enumeration Date
04/01/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
GRP6735 01 MEDICARE ID
DC4801 01 GA RAILROAD MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
410 Cowart Ave
City
Valdosta
State
Georgia
Zip
31602-2622
Phone Number
229-244-6544
Fax Number
229-241-9744
person
Provider Business Mailing Address Details
Address
410 Cowart Ave
City
Valdosta
State
Georgia
Zip
31602-2622
Phone Number
229-244-6544
Fax Number
229-241-9744
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
054594 (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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.