person
Dr. Kimathi Sipho Ricardo Blackwood, MD
Nephrology Physician in Macon, Georgia
NPI 1609071448

Kimathi Sipho Ricardo Blackwood is a Nephrology Physician based in Lawrenceville, GA and is specialized in Nephrology. Kimathi Sipho Ricardo Blackwood practices in Macon, GA and has the professional credentials of MD. The NPI Number for Kimathi Sipho Ricardo Blackwood is 1609071448 and holds a License No. (Georgia).

The current practice location address for Kimathi Sipho Ricardo Blackwood is 890 Second Street, Macon, GA and can be reached out via phone at 478-745-4322 and via fax at 478-750-8789. You can also correspond with Kimathi Sipho Ricardo Blackwood through the mailing address at 595 HURRICANE SHOALS RD NW STE 100, LAWRENCEVILLE, GA - 30046-8762 (mailing address contact number: 404-645-7150).

Location: 890 Second Street, Macon, GA, 30046-8762
person
Provider Profile Details
NPI Number
1609071448
Provider Name
Kimathi Sipho Ricardo Blackwood
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
890 Second Street, Macon, GA, 30046-8762
Phone Number
478-745-4322
Fax Number
478-750-8789
Provider Enumeration Date
06/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
546478200BB 05 GA
546478200C 05 GA
institution
Provider Business Practice Location Address Details
Address
890 Second Street
City
State
Zip
31201-6863
Phone Number
478-745-4322
Fax Number
478-750-8789
person
Provider Business Mailing Address Details
Address
595 Hurricane Shoals Rd Nw Ste 100
City
State
Zip
30046-8762
Phone Number
404-645-7150
Fax Number
770-995-0776
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
License No.
063834 (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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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