| NPI | 1619919966 |
|---|---|
| Doing Business As | SOUTH DEKALB DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | ANDREW DIXON Owner/CEO 770-981-0558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD001212) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |