Louisville Dialysis Clinic-Peachtree LLC
NPI #1154729028 in Louisville, Georgia
Provider Information
- NPI Number
- 1154729028
- Entity Type
- Organization
- Organization Name
- Louisville Dialysis Clinic-Peachtree LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Dec 9, 2014
- Last Updated
- Mar 16, 2017
Practice Location
- Address
- 1069 PEACHTREE ST
- City
- Louisville
- State
- Georgia
- ZIP Code
- 30434-1558
- Phone
- (478) 625-9566
Authorized Official
- Name
- MR. JONATHAN WILCOX
- Title
- CFO
- Phone
- (978) 922-3080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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