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KIDNEY SPECIALISTS OF GEORGIA PC NPI 1063070654


NPI Information

NPI: 1063070654
Provider Name: KIDNEY SPECIALISTS OF GEORGIA PC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 11D2177788

Address:
575 PROFESSIONAL DR STE 290
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 417-8170
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KIDNEY SPECIALISTS OF GEORGIA PC is a nephrology internal medicine in Lawrenceville, 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 SPECIALISTS OF GEORGIA PC NPI is 1063070654. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

575 PROFESSIONAL DR STE 290
LAWRENCEVILLE, GA
ZIP 30046-347
Phone: (770) 417-8170
Fax: (770) 417-8169

The provider's authorized official is Nnamdi Kelechi Nwaohiri .
The authorized official title is Medical Director and has the following contact phone number (443) 616-4122.

The CLIA number assigned to this NPI record is 11D2177788 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/30/2019 and was last updated on 1/17/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyYes

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: 4/28/2024

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