Valdosta Kidney Clinic, Llc

LBN: Valdosta Kidney Clinic, Llc
Valdosta Kidney Clinic, Llc is an health care organization with primary practice located at 410 Cowart Ave , Valdosta GA 31602-2622. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Valdosta Kidney Clinic, Llc can be contacted via phone (229) 244-6544, or through Chiang, Maria Ester via phone (229) 244-6544.

Contact Information

Primary practice address
410 Cowart Ave Valdosta GA 31602-2622
Phone: (229) 244-6544
Fax: (229) 241-9744
Website:
Map and Directions
Authorized official contact:
Name: Chiang, Maria Ester
Phone: (229) 244-6544

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 054594 Georgia

Profile Details

NPI number 1215109087
LBN Legal business name Valdosta Kidney Clinic, Llc
DBA Doing business as
Authorized official Chiang, Maria Ester
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2008
Last updated Apr 5th, 2012 - 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 1215109087 NPPES
Other GRP6735 MEDICARE ID
Other DC4801 MEDICARE ID

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