Organization
CARTERSVILLE DIALYSIS SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEBUSOLA KEELS (CEO)
(678) 218-7290
Entity
Organization
Contact information
Practice address
40 SLOPES DR, CARTERSVILLE, GA 30120-7965
(678) 218-7290
Mailing address
40 SLOPES DR, CARTERSVILLE, GA 30120-7965
(678) 218-7290
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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