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Leawood Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Macon, Georgia
NPI 1396257010

Leawood 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. Leawood Dialysis Llc practices in Macon, GA. The NPI Number for Leawood Dialysis Llc is 1396257010 and holds a License No. (Georgia).

The current practice location address for Leawood Dialysis Llc is 640 Martin Luther King Jr Blvd Ste 100, Macon, GA and can be reached out via phone at 478-742-5850 and via fax at 478-742-5860.

Location: 640 Martin Luther King Jr Blvd Ste 100, Macon, GA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396257010
Provider Name
Leawood Dialysis Llc
Credential
Provider Entity Type
Organization
Address
640 Martin Luther King Jr Blvd Ste 100, Macon, GA, 37027-7569
Phone Number
478-742-5850
Fax Number
478-742-5860
Provider Enumeration Date
11/03/2017
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
907820770A 05 GA
institution
Provider Business Practice Location Address Details
Address
640 Martin Luther King Jr Blvd Ste 100
City
Macon
State
Georgia
Zip
31201-3297
Phone Number
478-742-5850
Fax Number
478-742-5860
person
Provider Business Mailing Address Details
Address
640 Martin Luther King Jr Blvd Ste 100
City
Macon
State
Georgia
Zip
31201-3297
Phone Number
478-742-5850
Fax Number
478-742-5860
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.
(Georgia)
Definition
Definition to come...
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