SOUTHWEST ATLANTA DIALYSIS CENTERS LLC NPI 1083674600

NPI Information

SOUTHWEST ATLANTA DIALYSIS CENTERS LLC is an end-stage renal disease (esrd) treatment clinic center in Atlanta, GA. SOUTHWEST ATLANTA DIALYSIS CENTERS LLC NPI is 1083674600. The provider is registered as an organization entity type.
The provider Is Doing Business As Bakers Ferry Dialysis.

The provider's business location address is:

3645 BAKERS FERRY RD SW
ATLANTA, GA
ZIP 30331
Phone: (404) 691-1932
Fax: (404) 691-2786

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4500.

The CLIA number assigned to this NPI record is 11D1005161 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 2/28/2020.

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:

Other Identifiers

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