institution
College Park Dialysis, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in College Park, Georgia
NPI 1174683577

College Park Dialysis, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in College Park, GA and is specialized in End-Stage Renal Disease (ESRD) Treatment. College Park Dialysis, Llc practices in College Park, GA. The NPI Number for College Park Dialysis, Llc is 1174683577 and holds a License No. (Georgia).

The current practice location address for College Park Dialysis, Llc is 2545 Sullivan Rd, College Park, GA and can be reached out via phone at 404-591-2022 and via fax at 404-591-2025.

Location: 2545 Sullivan Rd, College Park, GA, 30337-6203
institution
Provider Profile Details
NPI Number
1174683577
Provider Name
College Park Dialysis, Llc
Credential
Provider Entity Type
Organization
Address
2545 Sullivan Rd, College Park, GA, 30337-6203
Phone Number
404-591-2022
Fax Number
404-591-2025
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
493330054A 05 GA
institution
Provider Business Practice Location Address Details
Address
2545 Sullivan Rd
City
State
Zip
30337-6203
Phone Number
404-591-2022
Fax Number
404-591-2025
person
Provider Business Mailing Address Details
Address
2545 Sullivan Rd
City
State
Zip
30337-6203
Phone Number
404-591-2022
Fax Number
404-591-2025
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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