institution
Innovative Dialysis Centers Of La Grange, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lagrange, Georgia
NPI 1730522343

Innovative Dialysis Centers Of La Grange, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Lagrange, GA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Innovative Dialysis Centers Of La Grange, Llc practices in Lagrange, GA. The NPI Number for Innovative Dialysis Centers Of La Grange, Llc is 1730522343 and holds a License No. (Georgia).

The current practice location address for Innovative Dialysis Centers Of La Grange, Llc is 1300 Lafayette Pkwy, Lagrange, GA and can be reached out via phone at 706-884-3765 and via fax at 706-884-5304.

Location: 1300 Lafayette Pkwy, Lagrange, GA, 30241-2610
institution
Provider Profile Details
NPI Number
1730522343
Provider Name
Innovative Dialysis Centers Of La Grange, Llc
Credential
Provider Entity Type
Organization
Address
1300 Lafayette Pkwy, Lagrange, GA, 30241-2610
Phone Number
706-884-3765
Fax Number
706-884-5304
Provider Enumeration Date
04/12/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003146669A 05 GA
institution
Provider Business Practice Location Address Details
Address
1300 Lafayette Pkwy
City
State
Zip
30241-2612
Phone Number
706-884-3765
Fax Number
706-884-5304
person
Provider Business Mailing Address Details
Address
1300 Lafayette Pkwy
City
State
Zip
30241-2612
Phone Number
706-884-3765
Fax Number
706-884-5304
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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