National Provider Identifier Database

THE KIDNEY CLINIC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

THE KIDNEY CLINIC
2386 CLOWER ST STE C105
SNELLVILLE, GA30078-6107
Phone: 678-344-0334
Fax: 678-344-0343
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for THE KIDNEY CLINIC

NPI Number 1811159718
Legal business name
LBN
THE KIDNEY CLINIC
Authorized official MAZEN ABDALLA - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 07/01/2008
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 038414
  • GA Medicaid: 00612752A
  • GA Other: 1467420893 NPI FOR MAZEN ABDALLA,MD

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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