DIALYSIS AMERICA GEORGIA LLC NPI 1457453649

NPI Information

NPI: 1457453649
Provider Name: DIALYSIS AMERICA GEORGIA, LLC

Doing Business As: CENTRAL ATLANTA DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
22 EXECUTIVE PARK DRIVE
ATLANTA, GA
ZIP 30329
Phone: (404) 417-1916
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DIALYSIS AMERICA GEORGIA, LLC is an end-stage renal disease (esrd) treatment clinic center in Atlanta, GA. DIALYSIS AMERICA GEORGIA, LLC NPI is 1457453649. The provider is registered as an organization entity type.
The provider Is Doing Business As Central Atlanta Dialysis.

The provider's business location address is:

22 EXECUTIVE PARK DRIVE
ATLANTA, GA
ZIP 30329
Phone: (404) 417-1916

The provider's authorized official is Mark Fawcett .
The authorized official title is Treasurer and has the following contact phone number (781) 402-9000.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 8/22/2020.

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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