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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 Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for THE KIDNEY CLINIC

NPI Number 1811159718
LBN Legal business name THE KIDNEY CLINIC
Authorized official MAZEN ABDALLA - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 07/01/2008
Last updated 09/11/2025 - About 9 months ago
Identifiers
GA License # 038414
GA Medicaid 00612752A
GA Other 1467420893 NPI FOR MAZEN ABDALLA,MD
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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