DIALYSIS CARE CENTER GWINNETT LLC NPI 1962084830

NPI Information

DIALYSIS CARE CENTER GWINNETT LLC is an end-stage renal disease (esrd) treatment clinic center in Lawrenceville, GA. DIALYSIS CARE CENTER GWINNETT LLC NPI is 1962084830. The provider is registered as an organization entity type.

The provider's business location address is:

558 OLD NORCROSS RD STE 104
LAWRENCEVILLE, GA
ZIP 30046-385
Phone: (678) 870-5100
Fax: (678) 870-5126

The provider's authorized official is Morufu Olatunji Alausa .
The authorized official title is Medical Director and has the following contact phone number (815) 741-6830.

The CLIA number assigned to this NPI record is 11D2213553 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2021 and was last updated on 10/19/2022.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.