NEPHROLOGY GROUP LLC NPI 1134604424

NPI Information

NPI: 1134604424
Provider Name: NEPHROLOGY GROUP, LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1001 WARD ST W
DOUGLAS, GA
ZIP 31533
Phone: (912) 384-7210
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NEPHROLOGY GROUP, LLC is a nephrology internal medicine in Douglas, 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. NEPHROLOGY GROUP, LLC NPI is 1134604424. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1001 WARD ST W
DOUGLAS, GA
ZIP 31533-263
Phone: (912) 384-7210

The provider's authorized official is Thet Naing Zaw .
The authorized official title is Ceo and has the following contact phone number (703) 928-1515.

The enumeration date for this NPI number is 10/2/2018 and was last updated on 2/8/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology			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	072948	OTHER	GEORGIA	GA STATE MEDICAL LICENSE

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

NPI Synchronization or Removal

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