Organization · Type 2 NPI

Norcross Dialysis Center, LLC

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

NPI number 1912019738 Active

Practice location

4650 Jimmy Carter Blvd, Suite 111-113
Norcross, GA 30093-3761

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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NPI record

NPI: 1912019738
Entity type: Organization (Type 2)
Issued: Aug 31, 2006
Last updated: May 15, 2008
Status: Active
Subpart: Yes of Fresenius Medical Care Holdings, Inc.

Other names

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Fresenius Medical Care Norcross · doing business as

Authorized official

Mark Fawcett
Treasurer
(781) 699-9000

Verify this record

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 1912019738

Norcross Dialysis Center, LLC's National Provider Identifier is 1912019738, issued on Aug 31, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Norcross, GA. The record was last updated on May 15, 2008.