National Provider Identifier Database

NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC
Nephrology

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.


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
* Nephrology 207RN0300X

* Indicates primary specialty

NPI Profile & details for NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC

NPI Number 1093775645
Legal business name
LBN
NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC
Authorized official JOHN STRACK - (VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/27/2006
Last updated 01/16/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • OR Medicaid: 277872

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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