Douglasville Nephrology

LBN: Douglasville Nephrology & Htn Clinic
Douglasville Nephrology is an health care organization with primary practice located at 6488 Spring St Ste 100 , Douglasville GA 30134-1895. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty. Douglasville Nephrology & Htn Clinic can be contacted via phone (770) 489-4978, or through Smalls, Doreen via phone (770) 489-4978.

Contact Information

Primary practice address
6488 Spring St Ste 100 Douglasville GA 30134-1895
Fax: (770) 489-5279
Website:
Authorized official contact:
Name: Smalls, Doreen

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 40859 Georgia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 40859 Georgia

Profile Details

NPI number 1558418921
LBN Legal business name Douglasville Nephrology & Htn Clinic
DBA Doing business as Douglasville Nephrology
Authorized official Smalls, Doreen
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Feb 14th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558418921 NPPES
Georgia MEDICAID 00693877R
Georgia MEDICAID 00693877V
Georgia Other 12085
Georgia Other 6443
Georgia MEDICAID 00693877L
Georgia MEDICAID 00693877M
Georgia Other 10038018
Georgia Other 303395
Georgia MEDICAID 006937877P
Georgia MEDICAID 00693877P
Georgia MEDICAID 00693877Z

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