| NPI | 1770505877 |
|---|---|
| Doing Business As | NORTHEAST GEORGIA DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | KIRTI K SHAH Medical Director 770-962-1231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2009-06-01 |