| NPI | 1376917062 |
|---|---|
| Doing Business As | GEORGIA RENAL SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | RODERIC L. WOODSON Physician 404-352-8522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 7789) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-29 |