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Dr. Avanelle V Jack, MD
Nephrology Physician in Brunswick, Georgia
NPI 1316996671

Avanelle V Jack is a Nephrology Physician based in Brunswick, GA and is specialized in Nephrology. Avanelle V Jack practices in Brunswick, GA and has the professional credentials of MD. The NPI Number for Avanelle V Jack is 1316996671 and holds a License No. MD.022645 (Georgia).

The current practice location address for Avanelle V Jack is 208 Scranton Connector Ste 117, Brunswick, GA and can be reached out via phone at 912-264-5961 and via fax at 912-262-9499. You can also correspond with Avanelle V Jack through the mailing address at 208 SCRANTON CONNECTOR, BRUNSWICK, GA - 31525 (mailing address contact number: 912-264-5961).

Location: 208 Scranton Connector Ste 117, Brunswick, GA, 31525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316996671
Provider Name
Avanelle V Jack
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
208 Scranton Connector Ste 117, Brunswick, GA, 31525
Phone Number
912-264-5961
Fax Number
912-262-9499
Provider Enumeration Date
05/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1491501 05 LA
institution
Provider Business Practice Location Address Details
Address
208 Scranton Connector Ste 117
City
Brunswick
State
Georgia
Zip
31525-0560
Phone Number
912-264-5961
Fax Number
912-262-9499
person
Provider Business Mailing Address Details
Address
208 Scranton Connector Ste 117
City
Brunswick
State
Georgia
Zip
31525-0560
Phone Number
912-264-5961
Fax Number
912-262-9499
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
MD.022645 (Louisiana)
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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