IMPACT PHYSICIAN GROUP NEPHROLOGY, LLC

LEBANON, IN
NPI1003704875
Entity TypeOrganization
Authorized ContactPAUL MILLER
CEO
678-699-4977
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
Enumeration Date2025-06-27
Last Update Date2025-07-28
Business Address
IMPACT PHYSICIAN GROUP NEPHROLOGY, LLC
1585 PERRY WORTH RD
LEBANON, IN 46052-9635
Phone number: 765-482-6391
Mailing Address
IMPACT PHYSICIAN GROUP NEPHROLOGY, LLC
21 EASTBROOK BND STE 218
PEACHTREE CITY, GA 30269-1546
Phone number: 678-967-5599