Innovative Home Dialysis of Georgia, LLC

NPI #1932522950 in Canton, Georgia

Provider Information

NPI Number: 1932522950
Entity Type: Organization
Organization Name: Innovative Home Dialysis of Georgia, 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: Jan 27, 2014
Last Updated: Jan 25, 2017

Practice Location

Address: 3753 MARIETTA HWY
Address 2: SUITE 100
City: Canton
State: Georgia
ZIP Code: 30114-8328
Phone: (770) 345-4103

Authorized Official

Name: THOMAS L. WEINBERG
Title: SENIOR VICE PRESIDENT
Phone: (214) 736-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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