Organization
DIALYSIS CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
2821 WARM SPRINGS RD, COLUMBUS, GA 31904-6842
(706) 323-2415
(706) 323-2564
Mailing address
2424 WARM SPRINGS RD, SUITE B, COLUMBUS, GA 31904-6862
(706) 322-1959
(706) 322-9393
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001096
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00407525A
—
GA
05
—
COL2530D
—
AL
Enumeration date
07/08/2006
Last updated
10/04/2023
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