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NPI Profile for EDGAR WOLLAM in AUSTELL, GA.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nephrology |
207RN0300X | 11 | Physician/Internal Medicine |
| NPI # | 1316978166 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/06/2006 | |
| Last updated | 10/19/2011 - About 15 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EDGAR WOLLAM
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EDGAR WOLLAM