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MILLEN DIALYSIS CLINIC LLC NPI 1558769406


NPI Information

NPI: 1558769406
Provider Name: MILLEN DIALYSIS CLINIC LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
242 N MASONIC ST
MILLEN, GA
ZIP 30442
Phone: (478) 982-9533
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MILLEN DIALYSIS CLINIC LLC is an end-stage renal disease (esrd) treatment clinic center in Millen, GA. MILLEN DIALYSIS CLINIC LLC NPI is 1558769406. The provider is registered as an organization entity type.

The provider's business location address is:

242 N MASONIC ST
MILLEN, GA
ZIP 30442-611
Phone: (478) 982-9533
Fax: (478) 982-9535

The provider's authorized official is Sara Brady .
The authorized official title is Cfo and has the following contact phone number (208) 371-7878.

The enumeration date for this NPI number is 12/9/2014 and was last updated on 2/5/2024.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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.