Organization · Type 2 NPI
Fidelity Home Dialysis Corporation
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Marietta, GA
NPI number
1447640917
Active
Practice location
1230 Johnson Ferry Pl Ste H30
Marietta, GA 30068-2058
Fax (678) 742-8178
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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About NPI 1447640917
Fidelity Home Dialysis Corporation's National Provider Identifier is 1447640917, issued on Feb 4, 2015. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Marietta, GA. The record was last updated on May 31, 2022.