Eastside Premier Nephrology & Hypertension PC

NPI #1104048651 in Conyers, Georgia

Provider Information

NPI Number
1104048651
Entity Type
Organization
Organization Name
Eastside Premier Nephrology & Hypertension PC
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
May 3, 2007
Last Updated
Mar 22, 2011

Practice Location

Address
1612 MILSTEAD RD NE
Address 2
SUITE A
State
Georgia
ZIP Code
30012-3738
Phone
(678) 413-3261

Authorized Official

Name
MRS. OLADAPO FALASE
Title
OFFICE MANAGER
Phone
(678) 413-3261

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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