Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Valdosta Kidney Clinic, LLC

Organization Specialist · NPI 1215109087

Valdosta Kidney Clinic, LLC provides Specialist services in Valdosta, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

410 Cowart Ave
Valdosta, GA 31602-2622 Not confirmed with CMS for 14 years — call before visiting
Phone: (229) 244-6544
Fax: (229) 241-9744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 054594 (GA)

Record details

NPI number1215109087
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Ester Chiang — Manager · (229) 244-6544
NPI enumeratedApril 1, 2008
Last updated in NPPESApril 5, 2012
Mailing addressPo Box 2267, Valdosta, GA 31604-2267

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