Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AVANELLE V JACK, MD
ActiveNephrology · BRUNSWICK, GA
Registration Details
- NPI Number
- 1316996671
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 6, 2006 (20.02693811393 yrs)
- Last Updated
- Oct 24, 2017
- Licenses
-
MD.022645 (LA)78666 (GA)
Practice Information
- Address
-
208 SCRANTON CONNECTOR STE 117BRUNSWICK, GA, 315250560Browse GA providers · Browse ZIP 31525
- Phone
- 9122645961
- Fax
- 9122629499
- Primary Specialty
-
Nephrology
207RN0300X
- Additional Specialty
- Nephrology
Other Nephrology Providers in BRUNSWICK, GA
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL ALLEN BOWEN II | MD | 1487628277 |
| AHMED ELSHARKAWI | M.D. | 1861456378 |
| BRYAN JAMES KRULL | DO | 1649296682 |
| WILLIAM GEORGE GRUBB | MD | 1093721532 |
| CHRISTOPHER KOLASA | MD | 1073680062 |
| MS. COLETTE E LEE-LEWIS | MD | 1861695892 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.