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General NPI Number Information
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NPI Number | 1932591948
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Entity Type | Organization
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Legal Business Name | GEORGIA RENAL AND HYPERTENSION CARE
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Dates
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Enumeration Date | 02/27/2015
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 115 OAK HILL BLVD STE 200
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City | NEWNAN
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State | GA
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Zip | 30265-2592
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Country | US
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Telephone | 678-664-1545
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Fax | 678-664-1546
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Provider Business Mailing Address
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Address Line | 115 OAK HILL BLVD STE 200
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City | NEWNAN
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State | GA
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Zip | 30265-2592
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Country | US
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Telephone | 678-664-1545
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Fax | 678-664-1546
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Authorized Official
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Title or Position | PROVIDER
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Name | VISHAL N RATKALKAR
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Credential |
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Telephone | 678-664-1545
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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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