Organization · Type 2 NPI
Havenwood Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Newnan, GA
NPI number
1003311341
Active
Practice location
2301 Newnan Crossing Blvd, Ste 180
Newnan, GA 30265-2576
Fax (770) 253-8092
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
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- Renal Treatment Centers Mid Atlantic IncEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Newnan, GA NPI 1659330660
- Satellite Wellbound of Newnan, LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Newnan, GA NPI 1992261937
About NPI 1003311341
Havenwood Dialysis LLC's National Provider Identifier is 1003311341, issued on Mar 28, 2018. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Newnan, GA. The record was last updated on Mar 11, 2026.