VALDOSTA HYPERTENSION CLINIC NPI 1992940043

NPI Information

NPI: 1992940043
Provider Name: VALDOSTA HYPERTENSION CLINIC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1815 OLD OCILLA RD
TIFTON, GA
ZIP 31794
Phone: (229) 391-3527
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VALDOSTA HYPERTENSION CLINIC is a nephrology internal medicine in Tifton, 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. VALDOSTA HYPERTENSION CLINIC NPI is 1992940043. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1815 OLD OCILLA RD
TIFTON, GA
ZIP 31794-617
Phone: (229) 391-3527
Fax: (229) 391-3528

The provider's authorized official is Saad E Bedeir .
The authorized official title is Owner and has the following contact phone number (229) 391-3527.

The enumeration date for this NPI number is 12/3/2008 and was last updated on 12/3/2008.

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	207RN0300X	Internal Medicine	Nephrology	046734	GEORGIA	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	F58121	MEDICARE UPIN	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

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