Ellenwood Dialysis Center, LLC
NPI #1235411406 in Ellenwood, Georgia
Provider Information
- NPI Number
- 1235411406
- Entity Type
- Organization
- Organization Name
- Ellenwood Dialysis Center, LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Sep 14, 2011
- Last Updated
- Sep 14, 2011
Practice Location
Authorized Official
- Name
- DR. MOHAMAD KASSEM, MD
- Title
- OWNER/MEDICAL DIRECTOR
- Phone
- (678) 392-6198
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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