Organization · Type 2 NPI
Central Georgia Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Macon, GA
NPI number
1073582425
Active
Practice location
165 Emery Hwy Ste 101
Macon, GA 31217-3617
Fax (478) 755-1127
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | ESRD001047 (GA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1073582425
Central Georgia Dialysis LLC's National Provider Identifier is 1073582425, issued on Mar 17, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Macon, GA. The record was last updated on Jul 1, 2025.