institution
Dca Of Hawkinsville Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hawkinsville, Georgia
NPI 1124081559

Dca Of Hawkinsville Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Dallas, GA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dca Of Hawkinsville Llc practices in Hawkinsville, GA. The NPI Number for Dca Of Hawkinsville Llc is 1124081559 and holds a License No. (Georgia).

The current practice location address for Dca Of Hawkinsville Llc is 292 Industrial Blvd, Hawkinsville, GA and can be reached out via phone at 478-892-8008 and via fax at 478-892-8040.

Location: 292 Industrial Blvd, Hawkinsville, GA, 75284-4631
institution
Provider Profile Details
NPI Number
1124081559
Provider Name
Dca Of Hawkinsville Llc
Credential
Provider Entity Type
Organization
Address
292 Industrial Blvd, Hawkinsville, GA, 75284-4631
Phone Number
478-892-8008
Fax Number
478-892-8040
Provider Enumeration Date
04/07/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
112707 01 GA BLUE CROSS
000936713A 05 GA
institution
Provider Business Practice Location Address Details
Address
292 Industrial Blvd
City
State
Zip
31036-8002
Phone Number
478-892-8008
Fax Number
478-892-8040
person
Provider Business Mailing Address Details
Address
292 Industrial Blvd
City
State
Zip
31036-8002
Phone Number
478-892-8008
Fax Number
478-892-8040
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
()
Definition
Definition to come...
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