Organization · Type 2 NPI
Dca of Hawkinsville LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hawkinsville, GA
NPI number
1124081559
Active
Practice location
292 Industrial Blvd, Ste 100
Hawkinsville, GA 31036-8002
Fax (478) 892-8040
Mailing address
PO Box 844631
Dallas, TX 75284-4631
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 1124081559
Dca of Hawkinsville LLC's National Provider Identifier is 1124081559, issued on Apr 7, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Hawkinsville, GA. The record was last updated on Jun 21, 2018.