person
Edgar Wollam
Nephrology Physician in Austell, Georgia
NPI 1316978166

Edgar Wollam is a Nephrology Physician based in Austell, GA and is specialized in Nephrology. Edgar Wollam practices in Austell, GA. The NPI Number for Edgar Wollam is 1316978166 and holds a License No. 19436 (Georgia).

The current practice location address for Edgar Wollam is 1660 Mulkey Rd, Austell, GA and can be reached out via phone at 678-460-2700 and via fax at 770-739-0212.

Location: 1660 Mulkey Rd, Austell, GA, 30106
person
Provider Profile Details
NPI Number
1316978166
Provider Name
Edgar Wollam
Credential
Provider Entity Type
Individual
Gender
Male
Address
1660 Mulkey Rd, Austell, GA, 30106
Phone Number
678-460-2700
Fax Number
770-739-0212
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000146187C 05 GA
920632 01 GA AETNA
000146187E 05 GA
0001416187H 05 GA
000146187F 05 GA
110059639 01 GA RR MEDICARE
000146187B 05 GA
000146187D 05 GA
356860 01 GA BCBS
581992673003 01 GA UHC
000146187G 05 GA
03169 01 GA BCBS GROUP #
institution
Provider Business Practice Location Address Details
Address
1660 Mulkey Rd
City
State
Zip
30106
Phone Number
678-460-2700
Fax Number
770-739-0212
person
Provider Business Mailing Address Details
Address
1660 Mulkey Rd
City
State
Zip
30106
Phone Number
678-460-2700
Fax Number
770-739-0212
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
License No.
19436 (Georgia)
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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