EAGLES LANDING NEPHROLOGY AND HYPERTENSION LLC

STOCKBRIDGE, GA
NPI1205294378
Entity TypeOrganization
Authorized ContactCHUDAMANI RAO POLKAMPALLY
Owner
770-415-5889
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
Enumeration Date2016-02-04
Last Update Date2020-04-30
Business Address
EAGLES LANDING NEPHROLOGY AND HYPERTENSION LLC
225 COUNTRY CLUB DR STE 140
STOCKBRIDGE, GA 30281-7392
Phone number: 770-415-5889
Mailing Address
EAGLES LANDING NEPHROLOGY AND HYPERTENSION LLC
225 COUNTRY CLUB DR STE 140
STOCKBRIDGE, GA 30281-7392
Phone number: 770-415-5889