Organization
BARNESVILLE DIALYSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMAD MOUSSA KASSEM MD (PRESIDENT)
(770) 358-1142
Entity
Organization
Contact information
Practice address
783 HIGHWAY 341 S, BARNESVILLE, GA 30204-3793
(770) 358-1142
(770) 358-1503
Mailing address
3588 HIGHWAY 138 SE, PMB 344, STOCKBRIDGE, GA 30281-4171
(770) 358-1142
(770) 358-1503
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001248
GA
Other
Enumeration date
06/08/2006
Last updated
08/22/2020
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