MOUNTAIN PARK DIALYSIS CENTER, LLC is an end-stage renal disease (esrd) treatment clinic center in Marietta, GA. MOUNTAIN PARK DIALYSIS CENTER, LLC NPI is 1053976613. The provider is registered as an organization entity type.
The provider Is Doing Business As Sandy Plains Dialysis.
The provider's business location address is:
2550 SANDY PLAINS RD STE 160
MARIETTA, GA
ZIP 30066-210
Phone: (770) 509-1065
Fax: (770) 509-9912
The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.
The CLIA number assigned to this NPI record is 11D2165570 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/8/2019 and was last updated on 6/27/2023.