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General NPI Number Information
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NPI Number | 1194636068
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Entity Type | Organization
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Legal Business Name | TOTAL KIDNEY, PLLC
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 1136 J J CARTER RD
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City | MAGNOLIA
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State | MS
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Zip | 39652-8556
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Country | US
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Telephone | 601-803-7733
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Fax |
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Provider Business Mailing Address
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Address Line | 3104 BRIARCLIFF RD NE # 29111
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City | ATLANTA
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State | GA
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Zip | 30345-3443
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Country | US
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Telephone | 601-803-7733
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MALORIE HOLMES
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Credential | MD
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Telephone | 225-610-6260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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