Lithonia Dialysis Center

NPI 1205863032 - Clinic/Center - 261QE0700X

NPI Details
NPI 1205863032
Enumeration Date 06/27/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ANDREW ANDREW
Position OWNER/CEO
Phone (770) 981-0558
Fax (770) 981-4828
Practice Location
5255 SNAPFINGER PARK DR
SUITE 110
DECATUR GA, 30035-4084, US
Phone (770) 981-0558
Fax (770) 981-4828
Business Location
5255 SNAPFINGER PARK DR
SUITE 110
DECATUR GA, 30035-4084, US
Phone (770) 981-0558
Fax (770) 981-4828
Toxanomy
Taxonomy Code 261QE0700X
License State Georgia
License Number ESRD001030
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According to our database, Lithonia Dialysis Center NPI is 1205863032, taxonomy code is 261QE0700X and license number is ESRD001030, license state is located at Georgia. Lithonia Dialysis Center physically located at 5255 Snapfinger Park Dr, Decatur GA, 30035-4084. NPI Number 1033115704 has the healthcare provider type.

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1205863032 NPI number is provided on an as is basis without warranty of any kind. 1205863032 is maintained by the National Plan & Provider Enumeration System. The contents of Lithonia Dialysis Center are for informational purposes only.