Organization · Type 2 NPI
Central Georgia Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Perry, GA
NPI number
1922076108
Active
Practice location
1014 Keith Dr
Perry, GA 31069-2948
Fax (478) 777-8083
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | ESRD001177 (GA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1922076108
Central Georgia Dialysis LLC's National Provider Identifier is 1922076108, 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 Perry, GA. The record was last updated on May 14, 2025.