Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Valdosta Kidney Clinic, LLC

Organization Specialist · NPI 1215109087

Valdosta Kidney Clinic, LLC is a Specialist 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
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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