Individual provider · Type 1 NPI

Avanelle V. Jack, MD

Nephrology Physician · Brunswick, GA

NPI number 1316996671 Active

Practice location

208 Scranton Connector Ste 117
Brunswick, GA 31525-0560

Call (912) 264-5961 Map

Fax (912) 262-9499

Mailing address

208 Scranton Connector, Suite 117
Brunswick, GA 31525

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician 207RN0300XMD.022645 (LA)
Nephrology Physician Primary 207RN0300X78666 (GA)

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.

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About NPI 1316996671

Avanelle V. Jack, MD's National Provider Identifier is 1316996671, issued on May 6, 2006. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Brunswick, GA. The record was last updated on Oct 24, 2017.