East Georgia Nephrology, Pc in Statesboro - Nephrology
East Georgia Nephrology, Pc - NPI 1215128186
East Georgia Nephrology, Pc is a Nephrology in Statesboro, Georgia. East Georgia Nephrology, Pc practices all healthcare services and medical treatments related to Nephrology. The NPI Number for East Georgia Nephrology, Pc is 1215128186. The last update date is 2015-11-06.
East Georgia Nephrology, Pc's current location address is 450 Georgia Ave, Statesboro, Georgia. You can contact this provider via phone number 9128712200 and fax number 9128712220. The mailing address for East Georgia Nephrology, Pc is 450 Georgia Ave, Statesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Georgia Nephrology, Pc |
|---|---|
| Address | 450 Georgia Ave, Statesboro, Georgia |
| Phone Number | 9128712200 |
| Fax Number | 9128712220 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jackson William James |
| Credentials | MD |
| Telephone Number | 9128712200 |
NPI Number Detail
| NPI Number | 1215128186 |
|---|---|
| Provider Enumeration Date | 2007-08-06 |
| Last Updated Date | 2015-11-06 |
Provider Mailing Address Detail
| Address | 450 Georgia Ave |
|---|---|
| City | Statesboro |
| State | Georgia (GA) |
| Post Code | 304585585 |
| Phone Number | 9128712200 |
| Fax Number | 9128712220 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 34372 |
|
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 |
|---|---|---|---|
| DN3298 | GA | RAILROAD MEDICARE | |
| 300034644A | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to East Georgia Nephrology, Pc by the Centers for Medicare & Medicaid Services?
The East Georgia Nephrology, Pc has been issued the NPI (National Provider Identifier) 1215128186. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of East Georgia Nephrology, Pc?
The East Georgia Nephrology, Pc is situated at 450 Georgia Ave, in the city of Statesboro, state of GA, with the zip code 304585585.
What is East Georgia Nephrology, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for East Georgia Nephrology, Pc is Nephrology, and the taxonomy code that classifies this field of practice is 207Rn0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215128186 to East Georgia Nephrology, Pc?
The Centers for Medicare & Medicaid Services assigned the 1215128186 to East Georgia Nephrology, Pc on 2007-08-06.
When was the information regarding East Georgia Nephrology, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to East Georgia Nephrology, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-11-06.