ATEKHA NEPHROLOGY CLINIC NPI 1285767434

NPI Information

ATEKHA NEPHROLOGY CLINIC is a nephrology internal medicine in Statesboro, 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. ATEKHA NEPHROLOGY CLINIC NPI is 1285767434. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1030 BERMUDA RUN
STATESBORO, GA
ZIP 30458-858
Phone: (912) 764-8396
Fax: (912) 764-7188

The provider's authorized official is Courage A Atekha .
The authorized official title is Physician and has the following contact phone number (912) 764-8396.

The CLIA number assigned to this NPI record is 11D1099648 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 2/9/2016.

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:

Other Identifiers

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

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