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The Kidney Clinic
Medical Specialty Clinic/Center in Snellville, Georgia
NPI 1811159718

The Kidney Clinic is a Medical Specialty Clinic/Center based in Snellville, GA and is specialized in Medical Specialty. The Kidney Clinic practices in Snellville, GA. The NPI Number for The Kidney Clinic is 1811159718 and holds a License No. 038414 (Georgia).

The current practice location address for The Kidney Clinic is 2386 Clower St Ste C105, Snellville, GA and can be reached out via phone at 678-344-0334 and via fax at 678-344-0343.

Location: 2386 Clower St Ste C105, Snellville, GA, 30078-6134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811159718
Provider Name
The Kidney Clinic
Credential
Provider Entity Type
Organization
Address
2386 Clower St Ste C105, Snellville, GA, 30078-6134
Phone Number
678-344-0334
Fax Number
678-344-0343
Provider Enumeration Date
07/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1467420893 01 GA NPI FOR MAZEN ABDALLA,MD
00612752A 05 GA
institution
Provider Business Practice Location Address Details
Address
2386 Clower St Ste C105
City
Snellville
State
Georgia
Zip
30078-6107
Phone Number
678-344-0334
Fax Number
678-344-0343
person
Provider Business Mailing Address Details
Address
2386 Clower St Ste C105
City
Snellville
State
Georgia
Zip
30078-6107
Phone Number
678-344-0334
Fax Number
678-344-0343
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
038414 (Georgia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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