Innovative Dialysis Centers of La Grange, LLC

NPI #1730522343 in Lagrange, Georgia

Provider Information

NPI Number
1730522343
Entity Type
Organization
Organization Name
Innovative Dialysis Centers of La Grange, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Apr 12, 2013
Last Updated
Oct 23, 2023

Practice Location

Address
1300 LAFAYETTE PKWY
Address 2
SUITE D
State
Georgia
ZIP Code
30241-2612
Phone
(706) 884-3765

Authorized Official

Name
BARRY L. BLANTON
Title
VP
Phone
(781) 699-9000

Specialties & Taxonomy Codes

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

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