North Georgia Kidney Specialists, Llc in Marietta - Nephrology
North Georgia Kidney Specialists, Llc - NPI 1053416925
North Georgia Kidney Specialists, Llc is a Nephrology in Marietta, Georgia. North Georgia Kidney Specialists, Llc practices all healthcare services and medical treatments related to Nephrology. The NPI Number for North Georgia Kidney Specialists, Llc is 1053416925. The last update date is 2013-07-15.
North Georgia Kidney Specialists, Llc's current location address is 880 Canton Rd Ne, Marietta, Georgia. You can contact this provider via phone number 7705289788 and fax number 7704202229. The mailing address for North Georgia Kidney Specialists, Llc is 880 Canton Rd Ne, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North Georgia Kidney Specialists, Llc |
|---|---|
| Address | 880 Canton Rd Ne, Marietta, Georgia |
| Phone Number | 7705289788 |
| Fax Number | 7704202229 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Gallego S Manolo |
| Credentials | M.D. |
| Telephone Number | 7705289788 |
NPI Number Detail
| NPI Number | 1053416925 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2013-07-15 |
Provider Mailing Address Detail
| Address | 880 Canton Rd Ne |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300607283 |
| Phone Number | 7705289788 |
| Fax Number | 7704202229 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 36745 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1285688283 | GA | MUHAMMAD YASSER JABRI, M.D. IN | |
| 233167541A | GA | -- | |
| 555189352A | GA | -- | |
| DD6106 | GA | MEDICARE RAILROAD GROUP # | |
| 00691182AB | GA | -- | |
| 282117409A | GA | -- | |
| 000960726F | GA | -- | |
| 1275520793 | GA | GALLEGO INDIVIDUAL NPI |
Post Comment/ Review Below
What is the North Georgia Kidney Specialists, Llc's 1053416925?
The North Georgia Kidney Specialists, Llc's NPI (National Provider Identifier) Number is 1053416925. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where North Georgia Kidney Specialists, Llc's facilities are situated?
The facilities of North Georgia Kidney Specialists, Llc are physically located at the following address: 880 Canton Rd Ne, Marietta, GA, 300607283.
What is North Georgia Kidney Specialists, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The North Georgia Kidney Specialists, Llc's area of specialization is Nephrology, and the corresponding taxonomy code that categorizes this field of practice is 207Rn0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053416925 to North Georgia Kidney Specialists, Llc?
The Centers for Medicare & Medicaid Services assigned the 1053416925 to North Georgia Kidney Specialists, Llc on 2006-09-14.
When was the information regarding North Georgia Kidney Specialists, Llc most recently updated?
The details pertaining to the North Georgia Kidney Specialists, Llc, including its address, specialty, and other relevant information, were last refreshed on 2013-07-15.
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