Organization · Type 2 NPI
Vancile Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Duluth, GA
NPI number
1124528831
Active
Practice location
3170 Peachtree Industrial Blvd Ste 100
Duluth, GA 30097-8615
Fax (770) 476-3730
Mailing address
5200 Virginia Way, L & C Department
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...
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About NPI 1124528831
Vancile Dialysis LLC's National Provider Identifier is 1124528831, issued on Feb 19, 2018. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Duluth, GA. The record was last updated on Jul 7, 2025.