Organization · Type 2 NPI

South East Kidney Home Dialysis

Renal Dialysis Technician · Lawrenceville, GA

NPI number 1205748035 Active

Practice location

310 Philip Blvd
Lawrenceville, GA 30046-8700

Specialties and licenses

TaxonomyCodeLicense
Renal Dialysis Technician Primary 2472R0900XNone listed

Renal Dialysis Technician: Definition to come...

Another provider at this address

About NPI 1205748035

South East Kidney Home Dialysis's National Provider Identifier is 1205748035, issued on Sep 17, 2026. The primary taxonomy on file is Renal Dialysis Technician (2472R0900X), and the practice location is in Lawrenceville, GA. The record was last updated on Sep 17, 2026.