FILLMORE DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Loganville, GA. FILLMORE DIALYSIS, LLC NPI is 1659915882. The provider is registered as an organization entity type.
The provider Is Doing Business As Grayson Dialysis.
The provider's business location address is:
4555 ATLANTA HWY STE M
LOGANVILLE, GA
ZIP 30052-646
Phone: (770) 466-2582
Fax: (770) 466-3062
The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.
The CLIA number assigned to this NPI record is 11D2179736 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/31/2019 and was last updated on 2/8/2023.