institution
Innovative Home Dialysis Of Georgia, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Canton, Georgia
NPI 1932522950

Innovative Home Dialysis Of Georgia, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Plano, GA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Innovative Home Dialysis Of Georgia, Llc practices in Canton, GA. The NPI Number for Innovative Home Dialysis Of Georgia, Llc is 1932522950 and holds a License No. (Georgia).

The current practice location address for Innovative Home Dialysis Of Georgia, Llc is 3753 Marietta Hwy, Canton, GA and can be reached out via phone at 770-345-4103. You can also correspond with Innovative Home Dialysis Of Georgia, Llc through the mailing address at PO BOX 251549, PLANO, TX - 75025-1500 (mailing address contact number: 214-736-2700).

Location: 3753 Marietta Hwy, Canton, GA, 75025-1500
institution
Provider Profile Details
NPI Number
1932522950
Provider Name
Innovative Home Dialysis Of Georgia, Llc
Credential
Provider Entity Type
Organization
Address
3753 Marietta Hwy, Canton, GA, 75025-1500
Phone Number
770-345-4103
Fax Number
Provider Enumeration Date
01/27/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003154586A 05 GA
institution
Provider Business Practice Location Address Details
Address
3753 Marietta Hwy
City
State
Zip
30114-8328
Phone Number
770-345-4103
Fax Number
person
Provider Business Mailing Address Details
Address
3753 Marietta Hwy
City
State
Zip
30114-8328
Phone Number
770-345-4103
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
()
Definition
Definition to come...
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