Courage A Atekha in Statesboro - Renal Dialysis
Courage A Atekha - NPI 1124119219
Courage A Atekha is a Renal Dialysis in Statesboro, Georgia. Courage A Atekha practices all healthcare services and medical treatments related to Renal Dialysis. The NPI Number for Courage A Atekha is 1124119219. The last update date is 2016-07-07.
Courage A Atekha's current location address is 1030 Bermuda Run, Statesboro, Georgia. You can contact this provider via phone number 9127648396 and fax number 9127647188. The mailing address for Courage A Atekha is 1030 Bermuda Run, Statesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Courage A Atekha |
|---|---|
| Address | 1030 Bermuda Run, Statesboro, Georgia |
| Phone Number | 9127648396 |
| Fax Number | 9127647188 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124119219 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2016-07-07 |
Provider Mailing Address Detail
| Address | 1030 Bermuda Run |
|---|---|
| City | Statesboro |
| State | Georgia (GA) |
| Post Code | 304580858 |
| Phone Number | 9127648396 |
| Fax Number | 9127647188 |
Provider's Primary Taxonomy Detail
| Speciality | Renal Dialysis |
|---|---|
| Taxonomy | 2472R0900X |
| Licence No | 49266 |
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Definition: Operates kidney dialysis equipment and provides specialized patient care under supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000933413K,L,M, | GA | -- |
Post Comment/ Review Below
What is the Courage A Atekha's 1124119219?
The Courage A Atekha's NPI (National Provider Identifier) Number is 1124119219. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Courage A Atekha's physical address?
The Courage A Atekha is physically located at 1030 Bermuda Run, in the city of Statesboro, GA, with the postal code 304580858.
What is Courage A Atekha's specialized field of practice, and what is the corresponding taxonomy classification code?
The Courage A Atekha's area of specialization is Renal Dialysis, and the corresponding taxonomy code that categorizes this field of practice is 2472R0900X.
On what date did the Courage A Atekha receive the assignment of its 1124119219 from the Centers for Medicare & Medicaid Services?
The Courage A Atekha was issued its 1124119219 by the Centers for Medicare & Medicaid Services on 2006-09-27.
When was the information regarding Courage A Atekha most recently updated?
The details pertaining to the Courage A Atekha, including its address, specialty, and other relevant information, were last refreshed on 2016-07-07.