Medlock Bridge Dialysis LLC
NPI #1245869619 in Jasper, Georgia
Provider Information
- NPI Number
- 1245869619
- Entity Type
- Organization
- Organization Name
- Medlock Bridge Dialysis LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Apr 7, 2020
- Last Updated
- Dec 29, 2025
Practice Location
Authorized Official
- Name
- SAMUEL T WEY
- Title
- VP LICENSURE & CERTIFICATION
- Phone
- (615) 341-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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