Organization · Type 2 NPI
Heavener Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Columbus, GA
NPI number
1689008740
Active
Practice location
2401 Shelby St
Columbus, GA 31903-0000
Fax (706) 682-6059
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...
Another provider at this address
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About NPI 1689008740
Heavener Dialysis LLC's National Provider Identifier is 1689008740, issued on Aug 26, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Columbus, GA. The record was last updated on Aug 26, 2013.