DIALYSIS CLINIC INC. NPI 1124056775

NPI Information

NPI: 1124056775
Provider Name: DIALYSIS CLINIC INC.
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
120 PIEDMONT AVE NE
ATLANTA, GA
ZIP 30303
Phone: (404) 230-2959
Get Directions

DIALYSIS CLINIC INC. is an end-stage renal disease (esrd) treatment clinic center in Atlanta, GA. DIALYSIS CLINIC INC. NPI is 1124056775. The provider is registered as an organization entity type.

The provider's business location address is:

120 PIEDMONT AVE NE
ATLANTA, GA
ZIP 30303-418
Phone: (404) 230-2959

The provider's authorized official is Donovan Schultz .
The authorized official title is President and has the following contact phone number (615) 327-3061.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 10/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	ESRD001041	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000074346A	MEDICAID	GEORGIA
2	000410616A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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