Organization · Type 2 NPI
Macon Southside Dialysis Center LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Macon, GA
NPI number
1073910485
Active
Practice location
2117 Eisenhower Pkwy
Macon, GA 31206-3185
Fax (478) 744-9553
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...
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About NPI 1073910485
Macon Southside Dialysis Center LLC's National Provider Identifier is 1073910485, issued on Dec 1, 2014. 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 6, 2026.