Demorest Dialysis Facility, L.l.c.

NPI 1215925375 - Clinic/Center - 261QE0700X

NPI Details
NPI 1215925375
Enumeration Date 10/12/2005
Last Updated 03/15/2011
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name KRISTY W KRISTY
Position BILLING SPECIALIST
Phone (706) 433-0683
Fax (706) 369-1478
Practice Location
1507 CENTRAL AVE
DEMOREST GA, 30535-4555, US
Phone (706) 433-0683
Fax (706) 369-1478
Business Location
PO BOX 6385
ATHENS GA, 30604-6385, US
Phone (706) 546-0083
Fax (706) 613-9205
Toxanomy
Taxonomy Code 261QE0700X
License State Georgia
License Number ESRD001213
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According to our database, Demorest Dialysis Facility, L.l.c. NPI is 1215925375, taxonomy code is 261QE0700X and license number is ESRD001213, license state is located at Georgia. Demorest Dialysis Facility, L.l.c. physically located at 1507 Central Ave, Demorest GA, 30535-4555. NPI Number 1033115704 has the healthcare provider type.

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1215925375 NPI number is provided on an as is basis without warranty of any kind. 1215925375 is maintained by the National Plan & Provider Enumeration System. The contents of Demorest Dialysis Facility, L.l.c. are for informational purposes only.