Jackson Dialysis Center

NPI #1033329198 in Jackson, Georgia

Provider Information

NPI Number
1033329198
Entity Type
Organization
Organization Name
Jackson Dialysis Center
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
May 23, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
794 MCDONOUGH RD
Address 2
SUITE 108
State
Georgia
ZIP Code
30233-1572
Phone
(770) 504-9525

Authorized Official

Name
DR. BABATUNDE FARIYIKE
Title
MEDICAL DIRECTOR
Phone
(706) 647-8065

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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