Georgia Kidney Associates, Inc.

LBN: Georgia Kidney Associates, Inc.
Georgia Kidney Associates, Inc. is an health care organization with primary practice located at 55 Whitcher St Ne Suite 460, Marietta GA 30060-1155. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Georgia Kidney Associates, Inc. can be contacted via phone (770) 427-7389, or through Himot, Edward David via phone (770) 427-7389.

Contact Information

Primary practice address
55 Whitcher St Ne Suite 460 Marietta GA 30060-1155
Phone: (770) 427-7389
Fax: (770) 427-2845
Website:
Map and Directions
Authorized official contact:
Name: Himot, Edward David Doctor of Medicine (MD)
Phone: (770) 427-7389

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1932183654
LBN Legal business name Georgia Kidney Associates, Inc.
DBA Doing business as
Authorized official Himot, Edward David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2005
Last updated Mar 4th, 2013 - about 12 years ago

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 1932183654 NPPES
Georgia MEDICAID 300023127X

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