institution
Pedernales Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Colquitt, Georgia
NPI 1013310150

Pedernales Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, GA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Pedernales Dialysis Llc practices in Colquitt, GA. The NPI Number for Pedernales Dialysis Llc is 1013310150 and holds a License No. (Georgia).

The current practice location address for Pedernales Dialysis Llc is 213 Delores St, Colquitt, GA and can be reached out via phone at 229-758-1985 and via fax at 229-758-2555.

Location: 213 Delores St, Colquitt, GA, 37027-7569
institution
Provider Profile Details
NPI Number
1013310150
Provider Name
Pedernales Dialysis Llc
Credential
Provider Entity Type
Organization
Address
213 Delores St, Colquitt, GA, 37027-7569
Phone Number
229-758-1985
Fax Number
229-758-2555
Provider Enumeration Date
10/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003158694A 05 GA
institution
Provider Business Practice Location Address Details
Address
213 Delores St
City
State
Zip
39837-3528
Phone Number
229-758-1985
Fax Number
229-758-2555
person
Provider Business Mailing Address Details
Address
213 Delores St
City
State
Zip
39837-3528
Phone Number
229-758-1985
Fax Number
229-758-2555
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
(Georgia)
Definition
Definition to come...
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