Organization · Type 2 NPI
Pedernales Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Colquitt, GA
NPI number
1013310150
Active
Practice location
213 Delores St
Colquitt, GA 39837-3528
Fax (229) 758-2555
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...
2 other providers at this address
About NPI 1013310150
Pedernales Dialysis LLC's National Provider Identifier is 1013310150, issued on Oct 3, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Colquitt, GA. The record was last updated on Apr 25, 2019.