Organization · Type 2 NPI

Saddleback Dialysis LLC

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

NPI number 1508175464 Active

Practice location

2377 Hwy 196 W
Hinesville, GA 31313-8036

Call (912) 368-2710 Map

Fax (912) 368-2714

Mailing address

5200 Virginia Way, L&c Dept.
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	ESRD000739 (GA)

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

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NPI record

NPI: 1508175464
Entity type: Organization (Type 2)
Issued: Sep 27, 2010
Last updated: Sep 6, 2023
Status: Active

Other names

<unavail>
Magnolia Oaks Dialysis · doing business as
Magnolia Oaks Dialysis · doing business as

Authorized official

Samuel Wey
SR Director Licensure&certification
(615) 341-6641

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About NPI 1508175464

Saddleback Dialysis LLC's National Provider Identifier is 1508175464, issued on Sep 27, 2010. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Hinesville, GA. The record was last updated on Sep 6, 2023.