Organization · Type 2 NPI
Southeast Regional Kidney and Hypertension Specialists, LL
Nephrology Physician · Vidalia, GA
NPI number
1104174655
Active
Practice location
1811 Manning Dr
Vidalia, GA 30474-8921
Fax (912) 535-2558
Mailing address
PO Box 407
Vidalia, GA 30475-0407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nephrology Physician Primary | 207RN0300X | None listed |
Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
5 other providers at this address
- Restore Wellness and AestheticsGeneral Practice Physician Vidalia, GA NPI 1356108906
- Vidalia Family Health Clinic LLCSpecialist Vidalia, GA NPI 1205078979
- Cynthia Kaye Holton, NP-CAdult Health Nurse Practitioner Vidalia, GA NPI 1912252792
- Ravi J. Patel, MDGeneral Practice Physician Vidalia, GA NPI 1003909813
- Robert Bicknell Clark Jr., MD, F.A.C.S.Surgery Physician Vidalia, GA NPI 1144289349
About NPI 1104174655
Southeast Regional Kidney and Hypertension Specialists, LL's National Provider Identifier is 1104174655, issued on Aug 15, 2012. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Vidalia, GA. The record was last updated on Aug 25, 2014.