is a End-stage Renal Disease (esrd) Treatment in Atlanta, Georgia. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for is 1730291550. The last update date is .
's current location address is 231 14th St Nw, Atlanta, Georgia. You can contact this provider via phone number 4048928554 and fax number 4048928595. The mailing address for is 231 14th St Nw, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 231 14th St Nw, Atlanta, Georgia |
| Phone Number | 4048928554 |
| Fax Number | 4048928595 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1730291550 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 231 14th St Nw |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303185361 |
| Phone Number | 4048928554 |
| Fax Number | 4048928595 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000849087A | GA | -- |
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