NRA MIDTOWN MACON GEORGIA LLC NPI 1720035819

NPI Information

NRA MIDTOWN MACON GEORGIA LLC is an end-stage renal disease (esrd) treatment clinic center in Macon, GA. NRA MIDTOWN MACON GEORGIA LLC NPI is 1720035819. The provider is registered as an organization entity type.
The provider Is Doing Business As Midtown Macon Dialysis Center.

The provider's business location address is:

657 HEMLOCK ST
SUITE 100
MACON, GA
ZIP 31201-329
Phone: (478) 742-8001
Fax: (478) 742-3608

The provider's authorized official is Jon M. Sundock .
The authorized official title is Vice President and has the following contact phone number (615) 507-3307.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 7/22/2015.

Taxonomy Codes

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Other Identifiers

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