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Medlock Bridge Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jasper, Georgia
NPI 1245869619

Medlock Bridge Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, GA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Medlock Bridge Dialysis Llc practices in Jasper, GA. The NPI Number for Medlock Bridge Dialysis Llc is 1245869619 and holds a License No. (Georgia).

The current practice location address for Medlock Bridge Dialysis Llc is 700 N Main St, Jasper, GA and can be reached out via phone at 678-387-1274 and via fax at 678-387-1292.

Location: 700 N Main St, Jasper, GA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245869619
Provider Name
Medlock Bridge Dialysis Llc
Credential
Provider Entity Type
Organization
Address
700 N Main St, Jasper, GA, 37027-7569
Phone Number
678-387-1274
Fax Number
678-387-1292
Provider Enumeration Date
04/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
700 N Main St
City
Jasper
State
Georgia
Zip
30143-1404
Phone Number
678-387-1274
Fax Number
678-387-1292
person
Provider Business Mailing Address Details
Address
700 N Main St
City
Jasper
State
Georgia
Zip
30143-1404
Phone Number
678-387-1274
Fax Number
678-387-1292
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.
()
Definition
Definition to come...
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