Dialysis Facility Of Alma, Inc

NPI 1235114844 - Clinic/Center - 261QE0700X

NPI Details
NPI 1235114844
Enumeration Date 12/07/2005
Last Updated 12/17/2014
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name PADMANABH PADMANABH
Position MEDICAL DIRECTOR
Phone (912) 285-2053
Fax (912) 287-1731
Practice Location
220 UVALDA ST
WAYCROSS GA, 31501-4569, US
Phone (912) 285-2053
Fax (912) 287-1731
Business Location
415 S DIXON ST
ALMA GA, 31510-3146, US
Phone
Fax
Toxanomy
Taxonomy Code 261QE0700X
License State Georgia
License Number ESRD001239
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According to our database, Dialysis Facility Of Alma, Inc NPI is 1235114844, taxonomy code is 261QE0700X and license number is ESRD001239, license state is located at Georgia. Dialysis Facility Of Alma, Inc physically located at 220 Uvalda St, Waycross GA, 31501-4569. NPI Number 1033115704 has the healthcare provider type.

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1235114844 NPI number is provided on an as is basis without warranty of any kind. 1235114844 is maintained by the National Plan & Provider Enumeration System. The contents of Dialysis Facility Of Alma, Inc are for informational purposes only.