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1962708891
KIDNEY CENTER OF CENTRAL GEORGIA, LLC
MACON, GA
NPI
1962708891
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Entity Type
Organization
Authorized Contact
MUFID A OTHMAN
Owner
478-955-3185
Organization Subpart ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
Enumeration Date
2011-02-10
Last Update Date
2012-02-27
Business Address
KIDNEY CENTER OF CENTRAL GEORGIA, LLC
2525 2ND ST SUITE 150
MACON, GA 31206-2223
Phone number: 478-461-3291
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Mailing Address
KIDNEY CENTER OF CENTRAL GEORGIA, LLC
PO BOX 4048
MACON, GA 31208-4048
Phone number: 478-461-3291
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