Grovetown Dialysis Clinic Llc

NPI 1013141233 - Clinic/Center - 261QE0700X

NPI Details
NPI 1013141233
Enumeration Date 05/04/2009
Last Updated 11/05/2014
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JOHN J. JOHN
Position COO
Phone (706) 863-3103
Fax (706) 863-1778
Practice Location
442 PARK 20 W
GROVETOWN GA, 30813-3216, US
Phone (706) 863-3103
Fax (706) 863-1778
Business Location
442 PARK 20 W
GROVETOWN GA, 30813-3216, US
Phone (706) 863-3103
Fax (706) 863-1778
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
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According to our database, Grovetown Dialysis Clinic Llc NPI is 1013141233, taxonomy code is 261QE0700X Grovetown Dialysis Clinic Llc physically located at 442 Park 20 W, Grovetown GA, 30813-3216. NPI Number 1033115704 has the healthcare provider type.

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1013141233 NPI number is provided on an as is basis without warranty of any kind. 1013141233 is maintained by the National Plan & Provider Enumeration System. The contents of Grovetown Dialysis Clinic Llc are for informational purposes only.