GEORGIA RENAL ASSOCIATES PC NPI 1780851436

NPI Information

GEORGIA RENAL ASSOCIATES, PC is a nephrology internal medicine in Athens, 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. GEORGIA RENAL ASSOCIATES, PC NPI is 1780851436. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1500 OGLETHORPE AVE
SUITE 500C
ATHENS, GA
ZIP 30606-179
Phone: (706) 546-7484
Fax: (706) 546-7488

The provider's authorized official is Srilakshmi Rebala .
The authorized official title is Physician/owner and has the following contact phone number (706) 546-7484.

The CLIA number assigned to this NPI record is 11D1090382 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2008 and was last updated on 2/19/2012.

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

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