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Sugarloaf Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lawrenceville, Georgia
NPI 1669426813

Sugarloaf 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. Sugarloaf Dialysis Llc practices in Lawrenceville, GA. The NPI Number for Sugarloaf Dialysis Llc is 1669426813 and holds a License No. ESRD001255 (Georgia).

The current practice location address for Sugarloaf Dialysis Llc is 1705 Belle Meade Ct Ste 110, Lawrenceville, GA and can be reached out via phone at 770-513-2833 and via fax at 770-513-7611.

Location: 1705 Belle Meade Ct Ste 110, Lawrenceville, GA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669426813
Provider Name
Sugarloaf Dialysis Llc
Credential
Provider Entity Type
Organization
Address
1705 Belle Meade Ct Ste 110, Lawrenceville, GA, 37027-7569
Phone Number
770-513-2833
Fax Number
770-513-7611
Provider Enumeration Date
05/20/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000973J34K 05 GA
institution
Provider Business Practice Location Address Details
Address
1705 Belle Meade Ct Ste 110
City
Lawrenceville
State
Georgia
Zip
30043-5895
Phone Number
770-513-2833
Fax Number
770-513-7611
person
Provider Business Mailing Address Details
Address
1705 Belle Meade Ct Ste 110
City
Lawrenceville
State
Georgia
Zip
30043-5895
Phone Number
770-513-2833
Fax Number
770-513-7611
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.
ESRD001255 (Georgia)
Definition
Definition to come...
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