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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. You can also correspond with Fillmore Dialysis, Llc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-320-4268).

Location: 4555 Atlanta Hwy Ste M, Loganville, GA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Loganville
State
Georgia
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
Loganville
State
Georgia
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
261QE0700X
License No.
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Definition
Definition to come...
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