Organization · Type 2 NPI

Dialysis of North Atlanta LLC

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

NPI number 1689643595 Active

Practice location

449 Industrial Blvd Ste 240
Ellijay, GA 30540-6724

Call (706) 719-5354 Map

Fax (706) 719-5355

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	ESRD001205 (GA)

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

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NPI record

NPI: 1689643595
Entity type: Organization (Type 2)
Issued: Mar 14, 2006
Last updated: Oct 2, 2023
Status: Active

Other names

<unavail>
Ellijay Dialysis · doing business as
Ellijay Dialysis · doing business as

Authorized official

Samuel T Wey
SR Director, Licensure & Certificat
(615) 341-6641

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689643595

Dialysis of North Atlanta LLC's National Provider Identifier is 1689643595, issued on Mar 14, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Ellijay, GA. The record was last updated on Oct 2, 2023.