DSI MACON LLC NPI 1295122679

NPI Information

DSI MACON, LLC is an end-stage renal disease (esrd) treatment clinic center in Milledgeville, GA. DSI MACON, LLC NPI is 1295122679. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care Milledgeville Dialysis.

The provider's business location address is:

411 N JEFFERSON ST NE
MILLEDGEVILLE, GA
ZIP 31061-920
Phone: (478) 453-0964
Fax: (478) 453-0980

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Authorized Official and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 11D1106704 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2015 and was last updated on 4/14/2016.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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.