FIDELITY HOME DIALYSIS CORPORATION is an end-stage renal disease (esrd) treatment clinic center in Marietta, GA. FIDELITY HOME DIALYSIS CORPORATION NPI is 1447640917. The provider is registered as an organization entity type.
The provider's business location address is:
1230 JOHNSON FERRY PL STE H30
MARIETTA, GA
ZIP 30068-058
Phone: (678) 742-8563
Fax: (678) 742-8178
The provider's authorized official is Steve Ficklin .
The authorized official title is Administrator and has the following contact phone number (501) 217-3888.
The CLIA number assigned to this NPI record is 11D2232729 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/4/2015 and was last updated on 5/31/2022.