institution
Fillmore Dialysis, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Loganville, Georgia
NPI 1659915882

Fillmore 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. Fillmore Dialysis, Llc practices in Loganville, GA. The NPI Number for Fillmore Dialysis, Llc is 1659915882 and holds a License No. (Georgia).

The current practice location address for Fillmore Dialysis, Llc is 4555 Atlanta Hwy Ste M, Loganville, GA and can be reached out via phone at 770-466-2582 and via fax at 770-466-3062.

Location: 4555 Atlanta Hwy Ste M, Loganville, GA, 37027-7569
institution
Provider Profile Details
NPI Number
1659915882
Provider Name
Fillmore Dialysis, Llc
Credential
Provider Entity Type
Organization
Address
4555 Atlanta Hwy Ste M, Loganville, GA, 37027-7569
Phone Number
770-466-2582
Fax Number
770-466-3062
Provider Enumeration Date
10/31/2019
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003234223A 05 GA
institution
Provider Business Practice Location Address Details
Address
4555 Atlanta Hwy Ste M
City
State
Zip
30052-2646
Phone Number
770-466-2582
Fax Number
770-466-3062
person
Provider Business Mailing Address Details
Address
4555 Atlanta Hwy Ste M
City
State
Zip
30052-2646
Phone Number
770-466-2582
Fax Number
770-466-3062
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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