Douglas County Dialysis, Llc in Douglasville - End-stage Renal Disease (esrd) Treatment
Douglas County Dialysis, Llc - NPI 1649382466
Douglas County Dialysis, Llc is a End-stage Renal Disease (esrd) Treatment in Douglasville, Georgia. Douglas County Dialysis, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Douglas County Dialysis, Llc is 1649382466. The last update date is 2023-10-16.
Douglas County Dialysis, Llc's current location address is 4645 Timber Ridge Dr Ste 140, Douglasville, Georgia. You can contact this provider via phone number 6788383233 and fax number 6788383236. The mailing address for Douglas County Dialysis, Llc is 4645 Timber Ridge Dr Ste 140, Douglasville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Douglas County Dialysis, Llc |
|---|---|
| Address | 4645 Timber Ridge Dr Ste 140, Douglasville, Georgia |
| Phone Number | 6788383233 |
| Fax Number | 6788383236 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Blanton L. Barry |
| Telephone Number | 7816999000 |
NPI Number Detail
| NPI Number | 1649382466 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2023-10-16 |
Provider Mailing Address Detail
| Address | 4645 Timber Ridge Dr Ste 140 |
|---|---|
| City | Douglasville |
| State | Georgia (GA) |
| Post Code | 301357542 |
| Phone Number | 6788383233 |
| Fax Number | 6788383236 |
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000921082A | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Douglas County Dialysis, Llc?
The Douglas County Dialysis, Llc has been issued the NPI (National Provider Identifier) 1649382466 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Douglas County Dialysis, Llc?
The Douglas County Dialysis, Llc is situated at 4645 Timber Ridge Dr Ste 140, in the city of Douglasville, state of GA, with the zip code 301357542.
What is Douglas County Dialysis, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Douglas County Dialysis, Llc's area of specialization is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this field of practice is 261Qe0700X.
When did Douglas County Dialysis, Llc receive its 1649382466 assignment?
The Douglas County Dialysis, Llc was assigned its 1649382466 on 2006-08-31, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Douglas County Dialysis, Llc most recently updated or revised?
The information pertaining to Douglas County Dialysis, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2023-10-16.
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