institution
Fidelity Home Dialysis Corporation
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Marietta, Georgia
NPI 1447640917

Fidelity Home Dialysis Corporation is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Marietta, GA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Fidelity Home Dialysis Corporation practices in Marietta, GA. The NPI Number for Fidelity Home Dialysis Corporation is 1447640917 and holds a License No. (Georgia).

The current practice location address for Fidelity Home Dialysis Corporation is 1230 Johnson Ferry Pl Ste H30, Marietta, GA and can be reached out via phone at 678-742-8563 and via fax at 678-742-8178.

Location: 1230 Johnson Ferry Pl Ste H30, Marietta, GA, 30068-2058
institution
Provider Profile Details
NPI Number
1447640917
Provider Name
Fidelity Home Dialysis Corporation
Credential
Provider Entity Type
Organization
Address
1230 Johnson Ferry Pl Ste H30, Marietta, GA, 30068-2058
Phone Number
678-742-8563
Fax Number
678-742-8178
Provider Enumeration Date
02/04/2015
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
042593 01 AR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1230 Johnson Ferry Pl Ste H30
City
State
Zip
30068-2058
Phone Number
678-742-8563
Fax Number
678-742-8178
person
Provider Business Mailing Address Details
Address
1230 Johnson Ferry Pl Ste H30
City
State
Zip
30068-2058
Phone Number
678-742-8563
Fax Number
678-742-8178
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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