Dialysis of North Atlanta LLC

NPI #1134198070 in Woodstock, Georgia

Provider Information

NPI Number: 1134198070
Entity Type: Organization
Organization Name: Dialysis of North Atlanta LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Mar 14, 2006
Last Updated: Jul 10, 2007

Practice Location

Address: 2001 PROFESSIONAL PKWY
Address 2: SUITE 100
City: Woodstock
State: Georgia
ZIP Code: 30188-6442
Phone: (678) 494-1171

Authorized Official

Name: THOMAS O USILTON JR.
Title: GROUP VICE PRESIDENT
Phone: (770) 541-7922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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