Organization · Type 2 NPI
Dialysis Clinic Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Blakely, GA
NPI number
1194758573
Active
Practice location
11135 Columbia St
Blakely, GA 39823-3475
Fax (229) 723-6121
Mailing address
337 5th Ave
Albany, GA 31701-2029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | ESRD001080 (GA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1194758573
Dialysis Clinic Inc.'s National Provider Identifier is 1194758573, issued on Jul 8, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Blakely, GA. The record was last updated on Oct 4, 2023.