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Saddleback Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hinesville, Georgia
NPI 1508175464

Saddleback 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. Saddleback Dialysis Llc practices in Hinesville, GA. The NPI Number for Saddleback Dialysis Llc is 1508175464 and holds a License No. ESRD000739 (Georgia).

The current practice location address for Saddleback Dialysis Llc is 2377 Hwy 196 W, Hinesville, GA and can be reached out via phone at 912-368-2710 and via fax at 912-368-2714.

Location: 2377 Hwy 196 W, Hinesville, GA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508175464
Provider Name
Saddleback Dialysis Llc
Credential
Provider Entity Type
Organization
Address
2377 Hwy 196 W, Hinesville, GA, 37027-7569
Phone Number
912-368-2710
Fax Number
912-368-2714
Provider Enumeration Date
09/27/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11D2003617 01 GA CLIA
003101245A 05 GA
institution
Provider Business Practice Location Address Details
Address
2377 Hwy 196 W
City
Hinesville
State
Georgia
Zip
31313-8036
Phone Number
912-368-2710
Fax Number
912-368-2714
person
Provider Business Mailing Address Details
Address
2377 Hwy 196 W
City
Hinesville
State
Georgia
Zip
31313-8036
Phone Number
912-368-2710
Fax Number
912-368-2714
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.
ESRD000739 (Georgia)
Definition
Definition to come...
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