Organization · Type 2 NPI

South Atlanta Kidney Care Dialysis

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

NPI number 1891712766 Active

Practice location

2221 Peachtree Rd NE, Suite D 195
Atlanta, GA 30309-1148

Fax (770) 507-4190

Mailing address

195 Upper Riverdale Rd Suite A
Riverdale, GA 30274

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X052252 (GA)
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700X112780 (GA)

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

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About NPI 1891712766

South Atlanta Kidney Care Dialysis's National Provider Identifier is 1891712766, issued on Jul 16, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Atlanta, GA. The record was last updated on Jul 13, 2008.