Demorest Dialysis Facility, L.l.c.

NPI #1215925375 in Demorest, Georgia

Provider Information

NPI Number
1215925375
Entity Type
Organization
Organization Name
Demorest Dialysis Facility, L.l.c.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Oct 12, 2005
Last Updated
Mar 15, 2011

Practice Location

Address
1507 CENTRAL AVE
State
Georgia
ZIP Code
30535-4555
Phone
(706) 433-0683

Authorized Official

Name
MRS. KRISTY W DUNCAN
Title
BILLING SPECIALIST
Phone
(706) 433-0683

Specialties & Taxonomy Codes

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

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