Organization · Type 2 NPI
Douglasville Dialysis Spa DDS
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Douglasvile, GA
NPI number
1285066936
Active
Practice location
3138 Golf Ridge Blvd
Douglasvile, GA 30135
Fax (770) 627-3202
Mailing address
1380 Veterams Memorial Hwy SW
Mableton, GA 30126
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...
2 other providers at this address
About NPI 1285066936
Douglasville Dialysis Spa DDS's National Provider Identifier is 1285066936, issued on Aug 5, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Douglasvile, GA. The record was last updated on Jan 14, 2016.