| NPI | 1013142843 |
|---|---|
| Doing Business As | EMORY DIALYSIS AT NORTHSIDE |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY AGEE-CLARK JOHNSON Credentialing Coord. 229-387-3528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2026-02-09 |