ATHENS KIDNEY CENTER P.C. NPI 1710296199

NPI Information

NPI: 1710296199
Provider Name: ATHENS KIDNEY CENTER, P.C.

Doing Business As: LAKE HARTWELL KIDNEY CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
98 ARTHUR STREET
HARTWELL, GA
ZIP 30643
Phone: (706) 543-6397
Get Directions

ATHENS KIDNEY CENTER, P.C. is an end-stage renal disease (esrd) treatment clinic center in Hartwell, GA. ATHENS KIDNEY CENTER, P.C. NPI is 1710296199. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Hartwell Kidney Center.

The provider's business location address is:

98 ARTHUR STREET
HARTWELL, GA
ZIP 30643-804
Phone: (706) 543-6397

The provider's authorized official is Azubueze A Adogu .
The authorized official title is President / Ceo and has the following contact phone number (706) 543-6397.

The enumeration date for this NPI number is 10/1/2010 and was last updated on 6/11/2015.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003136746A	MEDICAID	GEORGIA
2	112843	MEDICARE OSCAR/CERTIFICATION	GEORGIA

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

NPI Synchronization or Removal

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