Fort Valley Dialysis Center LLC
NPI #1235649765 in Fort Valley, Georgia
Provider Information
- NPI Number
- 1235649765
- Entity Type
- Organization
- Organization Name
- Fort Valley Dialysis Center LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Oct 11, 2017
- Last Updated
- Jan 13, 2023
Practice Location
- Address
- 135 AVERA DR
- City
- Fort Valley
- State
- Georgia
- ZIP Code
- 31030-5007
- Phone
- (478) 827-0776
Authorized Official
- Name
- SARA ANNE BRADY
- Title
- CHIEF NURSING OFFICER
- Phone
- (208) 371-7878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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