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1215109087
VALDOSTA KIDNEY CLINIC, LLC
VALDOSTA, GA
NPI
1215109087
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Entity Type
Organization
Authorized Contact
MARIA ESTER CHIANG
Manager
229-244-6544
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: GA 054594)
Enumeration Date
2008-04-01
Last Update Date
2012-04-05
Business Address
VALDOSTA KIDNEY CLINIC, LLC
410 COWART AVE
VALDOSTA, GA 31602-2622
Phone number: 229-244-6544
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Mailing Address
VALDOSTA KIDNEY CLINIC, LLC
PO BOX 2267
VALDOSTA, GA 31604-2267
Phone number: 229-244-6544
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