Organization · Type 2 NPI

Southwest Atlanta Dialysis Centers LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Atlanta, GA

NPI number 1083674600 Active

Practice location

3645 Bakers Ferry Rd SW
Atlanta, GA 30331-3712

Call (404) 691-1932 Map

Fax (404) 691-2786

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	ESRD001225 (GA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1083674600
Entity type: Organization (Type 2)
Issued: Mar 27, 2006
Last updated: Nov 30, 2023
Status: Active

Other names

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Bakers Ferry Dialysis · doing business as
Bakers Ferry Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

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About NPI 1083674600

Southwest Atlanta Dialysis Centers LLC's National Provider Identifier is 1083674600, issued on Mar 27, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Atlanta, GA. The record was last updated on Nov 30, 2023.