NRA MACON GEORGIA LLC

MACON, GA
NPI1033165154
Doing Business AsEISENHOWER PARKWAY DIALYSIS CENTER
Entity TypeOrganization
Authorized ContactJON M. SUNDOCK
Vice President
615-507-3307
Organization Subpart ?Yes
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
(Licence: GA  ESRD001230)
Enumeration Date2006-05-26
Last Update Date2015-07-22
Business Address
NRA MACON GEORGIA LLC
2525 2ND ST
MACON, GA 31206-2223
Phone number: 478-738-0420
Mailing Address
NRA MACON GEORGIA LLC
1550 W. MCEWEN DRIVE SUITE 500
FRANKLIN, TN 37067-1731
Phone number: 615-661-1100