Provider Demographics
NPI:1467886788
Name:PIEDMONT NEPHROLOGY AND INTERNAL MEDICINE, LLC
Entity Type:Organization
Organization Name:PIEDMONT NEPHROLOGY AND INTERNAL MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-917-1609
Mailing Address - Street 1:35 COLLIER RD NW
Mailing Address - Street 2:SUITE 610
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1613
Mailing Address - Country:US
Mailing Address - Phone:404-917-1609
Mailing Address - Fax:404-856-7892
Practice Address - Street 1:1720 POWDER SPRINGS RD SW
Practice Address - Street 2:SUITE 150
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-4899
Practice Address - Country:US
Practice Address - Phone:404-355-7375
Practice Address - Fax:404-856-7892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty