Dsi Macon, LLC

NPI #1629464797 in Gray, Georgia

Provider Information

NPI Number
1629464797
Entity Type
Organization
Organization Name
Dsi Macon, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
U.S. RENAL CARE, INC.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Apr 15, 2015
Last Updated
Feb 15, 2016

Practice Location

Address
1002 BOULDER DR
City
Gray
State
Georgia
ZIP Code
31032-6140
Phone
(478) 986-3066

Authorized Official

Name
THOMAS L. WEINBERG
Title
AUTHORIZED OFFICIAL
Phone
(214) 736-2700

Specialties & Taxonomy Codes

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

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