Organization · Type 2 NPI
Fillmore Dialysis, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Loganville, GA
NPI number
1659915882
Active
Practice location
4555 Atlanta Hwy Ste M
Loganville, GA 30052-2646
Fax (770) 466-3062
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 | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Other end-stage renal disease (esrd) treatment clinic/center providers in Loganville
About NPI 1659915882
Fillmore Dialysis, LLC's National Provider Identifier is 1659915882, issued on Oct 31, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Loganville, GA. The record was last updated on Dec 23, 2025.