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
| Taxonomy | Code | License |
|---|---|---|
| Renal Dialysis Technician Primary | 2472R0900X | None 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.