Organization
RAI CARE CENTERS OF GEORGIA II, LLC
Active
Organization
RAI CARE CENTERS OF GEORGIA II, LLC
Active
Other names
RAI-Drayton-Savannah
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON M SUNDOCK (VICE PRESIDENT)
(615) 507-3307
Entity
Organization
Contact information
Practice address
1020 DRAYTON ST, SAVANNAH, GA 31401-6535
(912) 233-6067
(912) 232-4037
Mailing address
1550 W. MCEWEN DRIVE, SUITE 500, FRANKLIN, TN 37067-1731
(615) 661-1100
(615) 507-3300
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000795275D
—
GA
01
—
5306712
AETNA
GA
Enumeration date
08/05/2006
Last updated
02/10/2011
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