KIDNEY DIALYSIS CENTER, LLC is an end-stage renal disease (esrd) treatment clinic center in Macon, GA. KIDNEY DIALYSIS CENTER, LLC NPI is 1548429822. The provider is registered as an organization entity type.
The provider's business location address is:
640 MARTIN LUTHER KING JR BLVD
SUITE 100
MACON, GA
ZIP 31201-206
Phone: (478) 742-5850
Fax: (478) 742-5860
The provider's authorized official is Azmi Kabbani .
The authorized official title is Organizer and has the following contact phone number (478) 745-5455.
The CLIA number assigned to this NPI record is 11D1092305 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/3/2008 and was last updated on 10/15/2008.