Organization · Type 2 NPI
Dca of Calhoun LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Calhoun, GA
NPI number
1497706527
Active
Practice location
105 Professional Pl SE
Calhoun, GA 30701-7050
Fax (706) 624-4498
Mailing address
PO Box 19119
Jonesboro, AR 72403-6601
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 1497706527
Dca of Calhoun LLC's National Provider Identifier is 1497706527, issued on May 13, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Calhoun, GA. The record was last updated on Jun 21, 2018.