GEORGIA NEPHROLOGY LLC NPI 1619919966

NPI Information

GEORGIA NEPHROLOGY, LLC is an end-stage renal disease (esrd) treatment clinic center in Decatur, GA. GEORGIA NEPHROLOGY, LLC NPI is 1619919966. The provider is registered as an organization entity type.
The provider Is Doing Business As South Dekalb Dialysis Center.

The provider's business location address is:

2801 CANDLER RD
SUITE 203
DECATUR, GA
ZIP 30034-423
Phone: (404) 241-0402
Fax: (404) 328-0232

The provider's authorized official is Andrew Dixon .
The authorized official title is Owner/ceo and has the following contact phone number (770) 981-0558.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 8/22/2020.

Taxonomy Codes

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Other Identifiers

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