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Douglasville Nephrology & Htn Clinic
Nephrology Physician in Douglasville, Georgia
NPI 1558418921

Douglasville Nephrology & Htn Clinic is a Nephrology Physician based in Douglasville, GA and is specialized in Nephrology. Douglasville Nephrology & Htn Clinic practices in Douglasville, GA. The NPI Number for Douglasville Nephrology & Htn Clinic is 1558418921 and holds a License No. 40859 (Georgia).

The current practice location address for Douglasville Nephrology & Htn Clinic is 6488 Spring St Ste 100, Douglasville, GA and can be reached out via phone at 770-489-4978 and via fax at 770-489-5279.

Location: 6488 Spring St Ste 100, Douglasville, GA, 30134-1895
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558418921
Provider Name
Douglasville Nephrology & Htn Clinic
Credential
Provider Entity Type
Organization
Address
6488 Spring St Ste 100, Douglasville, GA, 30134-1895
Phone Number
770-489-4978
Fax Number
770-489-5279
Provider Enumeration Date
01/05/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00693877R 05 GA
00693877V 05 GA
12085 01 GA COVENTRY
6443 01 GA KAISER PERMANENTE
00693877L 05 GA
00693877M 05 GA
10038018 01 GA AMERIGROUP
303395 01 GA WELLCARE
006937877P 05 GA
00693877P 05 GA
00693877Z 05 GA
institution
Provider Business Practice Location Address Details
Address
6488 Spring St Ste 100
City
Douglasville
State
Georgia
Zip
30134-1895
Phone Number
770-489-4978
Fax Number
770-489-5279
person
Provider Business Mailing Address Details
Address
6488 Spring St Ste 100
City
Douglasville
State
Georgia
Zip
30134-1895
Phone Number
770-489-4978
Fax Number
770-489-5279
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
40859 (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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
40859 (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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