Organization
ORION DIALYSIS LLC
Active
Other names
Cowan Lake Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1950 HONEY CREEK CMNS SE, CONYERS, GA 30013-5844
(770) 918-2563
(770) 918-2059
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003213177A
—
GA
Enumeration date
03/22/2018
Last updated
07/09/2025
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