Provider Demographics
NPI:1083125124
Name:NEPHROLOGY OF GEORGIA LLC
Entity type:Organization
Organization Name:NEPHROLOGY OF GEORGIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEPHROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HERMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:GARCIA-SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:470-545-0305
Mailing Address - Street 1:3790 HOLCOMB BRIDGE RD STE 204
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-4854
Mailing Address - Country:US
Mailing Address - Phone:404-285-0853
Mailing Address - Fax:
Practice Address - Street 1:3790 HOLCOMB BRIDGE RD STE 204
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-4854
Practice Address - Country:US
Practice Address - Phone:404-285-0853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-17
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA070114207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty