Individual provider · Type 1 NPI
Kimathi Sipho Ricardo Blackwood, MD
Nephrology Physician · Macon, GA
NPI number
1609071448
Active
Practice location
890 Second Street, Suite 201
Macon, GA 31201-6863
Fax (478) 750-8789
Mailing address
595 Hurricane Shoals Rd NW Ste 100
Lawrenceville, GA 30046-8762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Nephrology Physician Primary | 207RN0300X | 063834 (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 1609071448
Kimathi Sipho Ricardo Blackwood, MD's National Provider Identifier is 1609071448, issued on Jun 20, 2007. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Macon, GA. The record was last updated on Jun 21, 2022.