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ATHENS KIDNEY CENTER PC NPI 1831286228


NPI Information

NPI: 1831286228
Provider Name: ATHENS KIDNEY CENTER, PC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1440 N CHASE ST
ATHENS, GA
ZIP 30601
Phone: (706) 543-6397
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ATHENS KIDNEY CENTER, PC is an end-stage renal disease (esrd) treatment clinic center in Athens, GA. ATHENS KIDNEY CENTER, PC NPI is 1831286228. The provider is registered as an organization entity type.

The provider's business location address is:

1440 N CHASE ST
ATHENS, GA
ZIP 30601-850
Phone: (706) 543-6397
Fax: (706) 227-2116

The provider's authorized official is Azubueze Afam Adogu .
The authorized official title is President and has the following contact phone number (706) 543-6397.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 12/26/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentESRD000999GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000731618DMEDICAIDGEORGIA
2000731618EMEDICAIDGEORGIA
3112674MEDICARE OSCAR/CERTIFICATIONGEORGIA

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: 4/28/2024

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