| NPI | 1134637747 |
|---|---|
| Doing Business As | NORTHWEST GEORGIA DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JAMES HILGER Chief Accounting Officer 253-733-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD001260) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |