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Dialysis Clinic Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in La Fayette, Georgia
NPI 1164455549

Dialysis Clinic Inc. is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in La Fayette, GA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dialysis Clinic Inc. practices in La Fayette, GA. The NPI Number for Dialysis Clinic Inc. is 1164455549 and holds a License No. ESRD001103 (Georgia).

The current practice location address for Dialysis Clinic Inc. is 614 Patterson Rd, La Fayette, GA and can be reached out via phone at 762-638-6553 and via fax at 706-638-6605.

Location: 614 Patterson Rd, La Fayette, GA, 30728-3326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164455549
Provider Name
Dialysis Clinic Inc.
Credential
Provider Entity Type
Organization
Address
614 Patterson Rd, La Fayette, GA, 30728-3326
Phone Number
762-638-6553
Fax Number
706-638-6605
Provider Enumeration Date
07/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00663462A 05 GA
institution
Provider Business Practice Location Address Details
Address
614 Patterson Rd
City
La Fayette
State
Georgia
Zip
30728-3326
Phone Number
762-638-6553
Fax Number
706-638-6605
person
Provider Business Mailing Address Details
Address
614 Patterson Rd
City
La Fayette
State
Georgia
Zip
30728-3326
Phone Number
762-638-6553
Fax Number
706-638-6605
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.
ESRD001103 (Georgia)
Definition
Definition to come...
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