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Mountain Park Dialysis Center, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Marietta, Georgia
NPI 1053976613

Mountain Park Dialysis Center, 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. Mountain Park Dialysis Center, Llc practices in Marietta, GA. The NPI Number for Mountain Park Dialysis Center, Llc is 1053976613 and holds a License No. (Georgia).

The current practice location address for Mountain Park Dialysis Center, Llc is 2550 Sandy Plains Rd Ste 160, Marietta, GA and can be reached out via phone at 770-509-1065 and via fax at 770-509-9912.

Location: 2550 Sandy Plains Rd Ste 160, Marietta, GA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053976613
Provider Name
Mountain Park Dialysis Center, Llc
Credential
Provider Entity Type
Organization
Address
2550 Sandy Plains Rd Ste 160, Marietta, GA, 37027-7569
Phone Number
770-509-1065
Fax Number
770-509-9912
Provider Enumeration Date
05/08/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003231664A 05 GA
institution
Provider Business Practice Location Address Details
Address
2550 Sandy Plains Rd Ste 160
City
Marietta
State
Georgia
Zip
30066-7210
Phone Number
770-509-1065
Fax Number
770-509-9912
person
Provider Business Mailing Address Details
Address
2550 Sandy Plains Rd Ste 160
City
Marietta
State
Georgia
Zip
30066-7210
Phone Number
770-509-1065
Fax Number
770-509-9912
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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