Edgar Wollam is a Nephrology in Austell, Georgia. Edgar Wollam practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Edgar Wollam is 1316978166. The last update date is 2011-10-19.
Edgar Wollam's current location address is 1660 Mulkey Rd, Austell, Georgia. You can contact this provider via phone number 6784602700 and fax number 7707390212. The mailing address for Edgar Wollam is 1660 Mulkey Rd, Austell, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edgar Wollam |
|---|---|
| Address | 1660 Mulkey Rd, Austell, Georgia |
| Phone Number | 6784602700 |
| Fax Number | 7707390212 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1316978166 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2011-10-19 |
Provider Mailing Address Detail
| Address | 1660 Mulkey Rd |
|---|---|
| City | Austell |
| State | Georgia (GA) |
| Post Code | 30106 |
| Phone Number | 6784602700 |
| Fax Number | 7707390212 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 19436 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000146187C | GA | -- | |
| 920632 | GA | AETNA | |
| 000146187E | GA | -- | |
| 0001416187H | GA | -- | |
| 000146187F | GA | -- | |
| 110059639 | GA | RR MEDICARE | |
| 000146187B | GA | -- | |
| 000146187D | GA | -- | |
| 356860 | GA | BCBS | |
| 581992673003 | GA | UHC |
Post Comment/ Review Below
What is the Edgar Wollam's unique identification number?
The Edgar Wollam has been assigned the NPI (National Provider Identifier) Number 1316978166 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Edgar Wollam is physically located?
The Edgar Wollam is physically situated at the following address: 1660 Mulkey Rd, Austell, GA, 30106.
What is Edgar Wollam's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Edgar Wollam is Nephrology, and the taxonomy classification code that categorizes this area of expertise is 207Rn0300X.
When was the Edgar Wollam's 1316978166 issued?
The Edgar Wollam's 1316978166 was issued on 2006-07-06.
When was the Edgar Wollam's information last updated?
The Edgar Wollam's information was last updated on 2011-10-19.
NPI Number: 1528061793
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