Healthcare Provider Details
I. General information
NPI: 1104883222
Provider Name (Legal Business Name): HYPERTENSION AND KIDNEY CARE OF NORTH ATLANTA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
980 JOHNSON FERRY RD NE SUITE 40
ATLANTA GA
30342-1626
US
IV. Provider business mailing address
3340 PEACHTREE RD NE BLDG 100, SUITE 600
ATLANTA GA
30326-1000
US
V. Phone/Fax
- Phone: 404-252-2546
- Fax:
- Phone: 404-266-9876
- Fax: 404-266-2669
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RN0300X |
| Taxonomy | Nephrology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SAIED
T
MURPHY
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 404-252-2546