Southwest Atlanta Nephrology, Pc

LBN: Southwest Atlanta Nephrology, Pc
Southwest Atlanta Nephrology, Pc is an health care organization with primary practice located at 3620 M L King Jr Dr Sw , Atlanta GA 30331-3711. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Southwest Atlanta Nephrology, Pc can be contacted via phone (404) 696-7300, or through Cleveland, William H via phone (404) 696-7300.

Contact Information

Primary practice address
3620 M L King Jr Dr Sw Atlanta GA 30331-3711
Phone: (404) 696-7300
Fax: (404) 699-3514
Website:
Map and Directions
Authorized official contact:
Name: Cleveland, William H Doctor of Medicine (MD)
Phone: (404) 696-7300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 017375 Georgia

Profile Details

NPI number 1992756894
LBN Legal business name Southwest Atlanta Nephrology, Pc
DBA Doing business as
Authorized official Cleveland, William H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2006
Last updated Sep 27th, 2010 - about 14 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 1992756894 NPPES
Georgia MEDICAID 55000490A
Georgia Other 154733

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