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NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC NPI 1407192172


NPI Information

NPI: 1407192172
Provider Name: NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA, LLC

Doing Business As: SOUTHERN KIDNEY CARE

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 01D1012706

Address:
3570 GRANDVIEW PKWY STE 2
BIRMINGHAM, AL
ZIP 35243
Phone: (205) 354-2100
Get Directions

NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA, LLC is a nephrology internal medicine in Birmingham, AL. 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 MEDICAL ASSOCIATES OF GEORGIA, LLC NPI is 1407192172. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southern Kidney Care.

The provider's business location address is:

3570 GRANDVIEW PKWY STE 2
BIRMINGHAM, AL
ZIP 35243-064
Phone: (205) 354-2100
Fax: (866) 343-6766

The provider's authorized official is Jennie Peterson .
The authorized official title is Vp Of Operations and has the following contact phone number (205) 983-1120.

The CLIA number assigned to this NPI record is 01D1012706 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/27/2012 and was last updated on 7/21/2022.


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
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: 5/5/2024

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