Organization · Type 2 NPI

Demorest Dialysis Facility, L.l.c.

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Demorest, GA

NPI number 1215925375 Active

Practice location

1507 Central Ave
Demorest, GA 30535-4555

Fax (706) 369-1478

Mailing address

PO Box 6385
Athens, GA 30604-6385

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XESRD001213 (GA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1215925375

Demorest Dialysis Facility, L.l.c.'s National Provider Identifier is 1215925375, issued on Oct 12, 2005. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Demorest, GA. The record was last updated on Mar 15, 2011.