LOUISVILLE DIALYSIS CLINIC-PEACHTREE LLC

LOUISVILLE, GA
NPI1154729028
Entity TypeOrganization
Authorized ContactJONATHAN WILCOX
CFO
978-922-3080
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2014-12-09
Last Update Date2017-03-16
Business Address
LOUISVILLE DIALYSIS CLINIC-PEACHTREE LLC
1069 PEACHTREE ST
LOUISVILLE, GA 30434-1558
Phone number: 478-625-9566
Mailing Address
LOUISVILLE DIALYSIS CLINIC-PEACHTREE LLC
1069 PEACHTREE ST
LOUISVILLE, GA 30434-1558
Phone number: 478-625-9566