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Dialysis Clinic Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Blakely, Georgia
NPI 1194758573

Dialysis Clinic Inc. is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Albany, GA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dialysis Clinic Inc. practices in Blakely, GA. The NPI Number for Dialysis Clinic Inc. is 1194758573 and holds a License No. ESRD001080 (Georgia).

The current practice location address for Dialysis Clinic Inc. is 11135 Columbia St, Blakely, GA and can be reached out via phone at 229-723-5054 and via fax at 229-723-6121.

Location: 11135 Columbia St, Blakely, GA, 31701-2029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194758573
Provider Name
Dialysis Clinic Inc.
Credential
Provider Entity Type
Organization
Address
11135 Columbia St, Blakely, GA, 31701-2029
Phone Number
229-723-5054
Fax Number
229-723-6121
Provider Enumeration Date
07/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000407382A 05 GA
00386306A 05 GA
institution
Provider Business Practice Location Address Details
Address
11135 Columbia St
City
Blakely
State
Georgia
Zip
39823-3475
Phone Number
229-723-5054
Fax Number
229-723-6121
person
Provider Business Mailing Address Details
Address
11135 Columbia St
City
Blakely
State
Georgia
Zip
39823-3475
Phone Number
229-723-5054
Fax Number
229-723-6121
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.
ESRD001080 (Georgia)
Definition
Definition to come...
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