institution
Macon Southside Dialysis Center Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Macon, Georgia
NPI 1073910485

Macon Southside Dialysis Center Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Macon, GA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Macon Southside Dialysis Center Llc practices in Macon, GA. The NPI Number for Macon Southside Dialysis Center Llc is 1073910485 and holds a License No. (Georgia).

The current practice location address for Macon Southside Dialysis Center Llc is 2117 Eisenhower Pkwy, Macon, GA and can be reached out via phone at 478-744-9551 and via fax at 478-744-9553.

Location: 2117 Eisenhower Pkwy, Macon, GA, 31206-3185
institution
Provider Profile Details
NPI Number
1073910485
Provider Name
Macon Southside Dialysis Center Llc
Credential
Provider Entity Type
Organization
Address
2117 Eisenhower Pkwy, Macon, GA, 31206-3185
Phone Number
478-744-9551
Fax Number
478-744-9553
Provider Enumeration Date
12/01/2014
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
003159743A 05 GA
institution
Provider Business Practice Location Address Details
Address
2117 Eisenhower Pkwy
City
State
Zip
31206-3185
Phone Number
478-744-9551
Fax Number
478-744-9553
person
Provider Business Mailing Address Details
Address
2117 Eisenhower Pkwy
City
State
Zip
31206-3185
Phone Number
478-744-9551
Fax Number
478-744-9553
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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