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BROOKHAVEN RENAL SYSTEMS LLC NPI 1811338114


NPI Information

NPI: 1811338114
Provider Name: BROOKHAVEN RENAL SYSTEMS, LLC

Doing Business As: BROOKHAVEN DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2695 BUFORD HWY NE
ATLANTA, GA
ZIP 30324
Phone: (404) 454-2519
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BROOKHAVEN RENAL SYSTEMS, LLC is an end-stage renal disease (esrd) treatment clinic center in Atlanta, GA. BROOKHAVEN RENAL SYSTEMS, LLC NPI is 1811338114. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookhaven Dialysis Center.

The provider's business location address is:

2695 BUFORD HWY NE
ATLANTA, GA
ZIP 30324-278
Phone: (404) 454-2519

The provider's authorized official is Michael A Akintade .
The authorized official title is Chief Operating Officer and has the following contact phone number (404) 454-2519.

The enumeration date for this NPI number is 7/15/2013 and was last updated on 1/24/2014.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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

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