WILDER DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Conyers, GA. WILDER DIALYSIS LLC NPI is 1720314776. The provider is registered as an organization entity type.
The provider Is Doing Business As Conyers Dialysis.
The provider's business location address is:
1501 MILSTEAD RD NE
CONYERS, GA
ZIP 30012-838
Phone: (770) 761-8097
Fax: (770) 761-8141
The provider's authorized official is John 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 11D2000448 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/27/2009 and was last updated on 12/17/2020.