| Dublin Nephrology Care, Llc | |
|
203 Fairview Park Dr Dublin GA 31021-2550 | |
| (478) 275-2828 | |
| (478) 275-7676 |
| Full Name | Dublin Nephrology Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 203 Fairview Park Dr, Dublin, Georgia |
| Authorized Official Name and Position | Zhiqiang Zhang (ADMINISTRATOR) |
| Authorized Official Contact | 4782752828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dublin Nephrology Care, Llc Po Box 1506 Dublin GA 31040-1506 Ph: (478) 275-2828 | Dublin Nephrology Care, Llc 203 Fairview Park Dr Dublin GA 31021-2550 Ph: (478) 275-2828 |
| NPI Number | 1386885697 |
|---|---|
| Provider Enumeration Date | 03/16/2009 |
| Last Update Date | 05/16/2012 |
| Medicare PECOS PAC ID | 2961553094 |
|---|---|
| Medicare Enrollment ID | O20090630000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386885697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 049554 (Georgia) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 049554 (Georgia) | Primary |
| Provider Name | Zhiqiang Zhang |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639105620 PECOS PAC ID: 8224933130 Enrollment ID: I20031204000219 |
| Provider Name | Christy Clyborne Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245888213 PECOS PAC ID: 5597088294 Enrollment ID: I20191018002304 |
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