Children'S Healthcare Of Atlanta At Egleston in Brookhaven - End-stage Renal Disease (esrd) Treatment
Children'S Healthcare Of Atlanta At Egleston - NPI 1881766749
Children'S Healthcare Of Atlanta At Egleston is a End-stage Renal Disease (esrd) Treatment in Brookhaven, Georgia. Children'S Healthcare Of Atlanta At Egleston practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Children'S Healthcare Of Atlanta At Egleston is 1881766749. The last update date is 2023-03-28.
Children'S Healthcare Of Atlanta At Egleston's current location address is 1575 Northeast Expy Ne, Brookhaven, Georgia. You can contact this provider via phone number 4047857876. The mailing address for Children'S Healthcare Of Atlanta At Egleston is 1575 Northeast Expy Ne, Brookhaven, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Children'S Healthcare Of Atlanta At Egleston |
|---|---|
| Address | 1575 Northeast Expy Ne, Brookhaven, Georgia |
| Phone Number | 4047857876 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER, P |
|---|---|
| Authorized Official Name | Cody Louetta |
| Telephone Number | 4047857876 |
NPI Number Detail
| NPI Number | 1881766749 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2023-03-28 |
Provider Mailing Address Detail
| Address | 1575 Northeast Expy Ne |
|---|---|
| City | Brookhaven |
| State | Georgia (GA) |
| Post Code | 303292401 |
| Phone Number | 4047857876 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 044-079 |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 332505 | GA | WELLCARE PROVIDER ID | |
| 10054173 | GA | AMERIGROUP PROVIDER ID | |
| 000409967A | GA | PEACH STATE PROVIDER ID | |
| 000409967A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Children'S Healthcare Of Atlanta At Egleston by the Centers for Medicare & Medicaid Services?
The Children'S Healthcare Of Atlanta At Egleston has been assigned the NPI (National Provider Identifier) 1881766749 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Children'S Healthcare Of Atlanta At Egleston located?
The Children'S Healthcare Of Atlanta At Egleston is located at 1575 Northeast Expy Ne, Brookhaven, GA 303292401.
What is the Children'S Healthcare Of Atlanta At Egleston's specialty and taxonomy code?
The Children'S Healthcare Of Atlanta At Egleston's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
When did Children'S Healthcare Of Atlanta At Egleston receive its 1881766749 assignment?
The Children'S Healthcare Of Atlanta At Egleston was assigned its 1881766749 on 2006-11-15, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Children'S Healthcare Of Atlanta At Egleston, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Children'S Healthcare Of Atlanta At Egleston, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-28.