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Dialysis Clinic Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Decatur, Georgia
NPI 1336172717

Dialysis Clinic Inc. is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Decatur, GA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dialysis Clinic Inc. practices in Decatur, GA. The NPI Number for Dialysis Clinic Inc. is 1336172717 and holds a License No. ESRD001003 (Georgia).

The current practice location address for Dialysis Clinic Inc. is 558 Medlock Rd, Decatur, GA and can be reached out via phone at 404-371-0499 and via fax at 404-371-1197.

Location: 558 Medlock Rd, Decatur, GA, 30030-1512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336172717
Provider Name
Dialysis Clinic Inc.
Credential
Provider Entity Type
Organization
Address
558 Medlock Rd, Decatur, GA, 30030-1512
Phone Number
404-371-0499
Fax Number
404-371-1197
Provider Enumeration Date
07/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00689224B 05 GA
000689224A 05 GA
institution
Provider Business Practice Location Address Details
Address
558 Medlock Rd
City
Decatur
State
Georgia
Zip
30030-1512
Phone Number
404-371-0499
Fax Number
404-371-1197
person
Provider Business Mailing Address Details
Address
558 Medlock Rd
City
Decatur
State
Georgia
Zip
30030-1512
Phone Number
404-371-0499
Fax Number
404-371-1197
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.
ESRD001003 (Georgia)
Definition
Definition to come...
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