FRESENIUS MEDICAL CARE LOCUST GROVE LLC NPI 1811552524

NPI Information

FRESENIUS MEDICAL CARE LOCUST GROVE, LLC is an end-stage renal disease (esrd) treatment clinic center in Locust Grove, GA. FRESENIUS MEDICAL CARE LOCUST GROVE, LLC NPI is 1811552524. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care Locust Grove.

The provider's business location address is:

2855 GA-155 S
LOCUST GROVE, GA
ZIP 30248-000
Phone: (770) 914-6364
Fax: (770) 914-5660

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 11D2172137 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2019 and was last updated on 10/20/2023.

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:

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