Fillmore Dialysis, LLC
NPI #1659915882 in Loganville, Georgia
Provider Information
- NPI Number
- 1659915882
- Entity Type
- Organization
- Organization Name
- Fillmore Dialysis, LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Oct 31, 2019
- Last Updated
- Dec 23, 2025
Practice Location
- Address
- 4555 ATLANTA HWY STE M
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-2646
- Phone
- (770) 466-2582
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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