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
Phone: (770) 489-4978
Fax: (770) 489-5279
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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