Organization · Type 2 NPI

Sunack Dialysis, LLC

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

NPI number 1831859438 Active

Practice location

22 S Main St
Moultrie, GA 31768-4573

Call (229) 785-1263 Map

Fax (229) 785-1284

Mailing address

5200 Virginia Way, L&c Department
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...

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See all in Moultrie →

NPI record

NPI: 1831859438
Entity type: Organization (Type 2)
Issued: Dec 22, 2021
Last updated: Jul 14, 2025
Status: Active

Other names

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Moultrie Home Training · doing business as
Moultrie Home Training · doing business as

Authorized official

Samuel Wey
VP Licensure & Certification
(615) 341-6641

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About NPI 1831859438

Sunack Dialysis, LLC's National Provider Identifier is 1831859438, issued on Dec 22, 2021. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Moultrie, GA. The record was last updated on Jul 14, 2025.