institution
Dialysis Clinic Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fayetteville, Georgia
NPI 1043243421

Dialysis Clinic Inc. is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Fayetteville, GA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dialysis Clinic Inc. practices in Fayetteville, GA. The NPI Number for Dialysis Clinic Inc. is 1043243421 and holds a License No. ESRD001036 (Georgia).

The current practice location address for Dialysis Clinic Inc. is 155 Brandywine Blvd, Fayetteville, GA and can be reached out via phone at 770-716-6940 and via fax at 770-716-6944.

Location: 155 Brandywine Blvd, Fayetteville, GA, 30214-7628
institution
Provider Profile Details
NPI Number
1043243421
Provider Name
Dialysis Clinic Inc.
Credential
Provider Entity Type
Organization
Address
155 Brandywine Blvd, Fayetteville, GA, 30214-7628
Phone Number
770-716-6940
Fax Number
770-716-6944
Provider Enumeration Date
07/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000774287B 05 GA
00774287A 05 GA
00774287A 05 WI
institution
Provider Business Practice Location Address Details
Address
155 Brandywine Blvd
City
State
Zip
30214-7628
Phone Number
770-716-6940
Fax Number
770-716-6944
person
Provider Business Mailing Address Details
Address
155 Brandywine Blvd
City
State
Zip
30214-7628
Phone Number
770-716-6940
Fax Number
770-716-6944
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
ESRD001036 (Georgia)
Definition
Definition to come...
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