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Contact Information

NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC
1050 W ELM ST
STE 160
HERMISTON, OR97838
 Phone: 541-564-1810
 Fax: 541-564-1812
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC · (Female)

NPI # 1093775645
Status Active
Credentials
Entity Individual
Enumeration date 03/27/2006
Last updated 01/16/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR Medicaid 277872
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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