PEACH STATE NEPHROLOGY NPI 1679773774

NPI Information

  • NPI: 1679773774
  • Provider Name: PEACH STATE NEPHROLOGY
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 619 S 8TH ST STE 100
    GRIFFIN, GA
    ZIP 30224
  • Phone: (678) 248-2899

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NPI Details

PEACH STATE NEPHROLOGY is a nephrology internal medicine in Griffin, 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. PEACH STATE NEPHROLOGY NPI is 1679773774. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

619 S 8TH ST STE 100
GRIFFIN, GA
ZIP 30224-260
Phone: (678) 248-2899

The provider's authorized official is Sonu Gupta Singh .
The authorized official title is Owner and has the following contact phone number (678) 371-4281.

The enumeration date for this NPI number is 7/18/2007 and was last updated on 6/5/2020.

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
1207RN0300XInternal MedicineNephrologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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