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Contact Information

GEORGIA NEPHROLOGY, LLC
497 WINN WAY STE A210
DECATUR, GA30030
 Phone: 404-294-7033
 Fax: 404-296-4661
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GEORGIA NEPHROLOGY, LLC

NPI # 1063422723
LBN Legal business name GEORGIA NEPHROLOGY, LLC
Authorized official KAREN MURO - (PHYSICIAN/PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/08/2006
Last updated 07/25/2018 - About 8 years ago
Identifiers
GA Medicaid 300027211A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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