11D0265224 CLIA NUMBER - NEPHROLOGY AND HYPERTENSION MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 11D0265224

Facility Name: NEPHROLOGY AND HYPERTENSION MEDICAL ASSOCIATES

Facility Address:
3025 SHRINE RD SUITE 450
BRUNSWICK, GA
ZIP 31520
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Facility Phone Number: 912 650-5450

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1013922699

Taxonomy: 207RN0300X - Internal Medicine
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.

CLIA Record

Field Name	Field Value
CLIA Number	11D0265224
LAB Type	Physician Office
Facility Name	NEPHROLOGY AND HYPERTENSION MEDICAL ASSOCIATES
Street	3025 SHRINE RD SUITE 450
City	BRUNSWICK
State	GA
ZIP	31520
Phone	912 650-5450
CertificateType	4
CertificateEffectiveDate	8/5/2022
CertificateExpirationDate	8/4/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024