| NPI | 1992941736 |
|---|---|
| Doing Business As | GEORGIA DIALYSIS FOR ADOLESCENTS AND PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL WEY VP Licensure & Certification 615-641-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD000756) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2024-02-16 |