Organization · Type 2 NPI

Plattaz Dialysis, LLC

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

NPI number 1336759463 Active

Practice location

100 Promenade Pkwy Ste C
Fayetteville, GA 30214-7735

Call (678) 788-6328 Map

Fax (678) 788-6351

Mailing address

5200 Virginia Way
Brentwood, TN 37027-7569

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...

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NPI record

NPI: 1336759463
Entity type: Organization (Type 2)
Issued: Aug 4, 2020
Last updated: Sep 16, 2026
Status: Active
Subpart: Yes of Davita Inc

Other names

<unavail>
West Clayton Dialysis · doing business as
West Clayton Dialysis · doing business as

Authorized official

Samuel Wey
VP Licensure & Certification
(615) 341-6641

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About NPI 1336759463

Plattaz Dialysis, LLC's National Provider Identifier is 1336759463, issued on Aug 4, 2020. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fayetteville, GA. The record was last updated on Sep 16, 2026.