RENVIVA DIALYSIS CENTER OF NORTH GEORGIA LLC NPI 1356104418

NPI Information

NPI: 1356104418
Provider Name: RENVIVA DIALYSIS CENTER OF NORTH GEORGIA LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
6120 WINDWARD PKWY STE 170
ALPHARETTA, GA
ZIP 30005
Phone: (321) 710-0352
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RENVIVA DIALYSIS CENTER OF NORTH GEORGIA LLC is an end-stage renal disease (esrd) treatment clinic center in Alpharetta, GA. RENVIVA DIALYSIS CENTER OF NORTH GEORGIA LLC NPI is 1356104418. The provider is registered as an organization entity type.

The provider's business location address is:

6120 WINDWARD PKWY STE 170
ALPHARETTA, GA
ZIP 30005-185
Phone: (321) 710-0352

The provider's authorized official is Akinyinka Awosika .
The authorized official title is Member Manager and has the following contact phone number (321) 710-0352.

The enumeration date for this NPI number is 2/1/2024 and was last updated on 2/1/2024.

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			Yes

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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