| NPI | 1629000328 |
|---|---|
| Doing Business As | SOUTHWEST GEORGIA DIALYSIS FACILITY |
| Entity Type | Organization |
| Authorized Contact | GREGORY S. HEMBREE CFO 229-228-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD001121) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-03-08 |