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KIDNEY CARE CENTER OF GEORGIA LLC NPI 1588981187


NPI Information

NPI: 1588981187
Provider Name: KIDNEY CARE CENTER OF GEORGIA LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
663 LANIER PARK DR
GAINESVILLE, GA
ZIP 30501
Phone: (678) 450-0202
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KIDNEY CARE CENTER OF GEORGIA LLC is a nephrology internal medicine in Gainesville, GA. The provider is 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. KIDNEY CARE CENTER OF GEORGIA LLC NPI is 1588981187. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

663 LANIER PARK DR
GAINESVILLE, GA
ZIP 30501-059
Phone: (678) 450-0202
Fax: (678) 450-0080

The provider's authorized official is Khaled Nass .
The authorized official title is President and has the following contact phone number (678) 450-0202.

The enumeration date for this NPI number is 4/23/2010 and was last updated on 11/29/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology43717GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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