Provider Demographics
NPI:1265264691
Name:TOTAL KIDNEY
Entity type:Organization
Organization Name:TOTAL KIDNEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MALORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:225-610-6260
Mailing Address - Street 1:3104 BRIARCLIFF RD NE
Mailing Address - Street 2:#29111
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-9998
Mailing Address - Country:US
Mailing Address - Phone:225-610-6260
Mailing Address - Fax:
Practice Address - Street 1:3104 BRIARCLIFF RD NE
Practice Address - Street 2:#29111
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-9998
Practice Address - Country:US
Practice Address - Phone:225-610-6260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-15
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty