Miango Group LLC
Internal Medicine, Nephrology in Sandy Springs, GA. Organization (NPI-2).
NPI number1447922406
StatusActive
Last updated in NPPESSep 29, 2021
Details
- NPI
- 1447922406
- Entity type
- Organization (NPI-2)
- Legal business name
- Miango Group LLC
- Organization subpart
- No
- Enumeration date
- Sep 29, 2021
- Certification date
- Sep 29, 2021
- Last updated
- Sep 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
Practice location
227 Sandy Springs Pl Ste D-483Sandy Springs, GA 30328-5918
Phone 404-459-9103
Mailing address
227 Sandy Springs Pl Ste D-483Sandy Springs, GA 30328-5918
Phone 404-459-9103
Authorized official
Chamberlain I Obialo
Owner
4044599103
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