Hypertension & Kidney,pc | |
134 S Clayton St Suit # 8 Lawrenceville GA 30046-5753 | |
(770) 513-3565 | |
(770) 513-1924 |
Full Name | Hypertension & Kidney,pc |
---|---|
Speciality | Internal Medicine |
Location | 134 S Clayton St, Lawrenceville, Georgia |
Authorized Official Name and Position | Nabila Hussain (PRESIDENT) |
Authorized Official Contact | 7705133565 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hypertension & Kidney,pc Po Box 1126 Lawrenceville GA 30046-1126 Ph: (770) 513-3565 | Hypertension & Kidney,pc 134 S Clayton St Suit # 8 Lawrenceville GA 30046-5753 Ph: (770) 513-3565 |
NPI Number | 1104872647 |
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Provider Enumeration Date | 05/26/2006 |
Last Update Date | 06/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104872647 | NPI | - | NPPES |
553623912A | Medicaid | GA | |
000967095E | Medicaid | GA | |
000967095G | Medicaid | GA | |
000967095C | Medicaid | GA | |
000967095J | Medicaid | GA | |
000967095K | Medicaid | GA | |
000967095B | Medicaid | GA | |
000967095H | Medicaid | GA | |
000967095F | Medicaid | GA | |
000967095I | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 051765 (Georgia) | Primary |
207RN0300X | Internal Medicine - Nephrology | 051765 (Georgia) | Secondary |
Raymond L. Stovall, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Professional Dr, Suite 150, Lawrenceville, GA 30045 Phone: 678-376-1800 Fax: 678-376-5500 | |
Carehere Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 S Perry St Ste 200, Lawrenceville, GA 30046 Phone: 877-423-1330 | |
Bennett H. Bruckner,m.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Professional Dr, Suite 290, Lawrenceville, GA 30045 Phone: 770-962-9410 Fax: 770-962-8489 | |
Metabolic Health Of Lawrenceville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 720 Old Snellville Hwy Ste 150, Lawrenceville, GA 30044 Phone: 678-431-1119 | |