Organization
RENAL LIFE LINK INC
Active
Other names
Paulding 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
4019 JOHNS RD, DALLAS, GA 30132-3420
(770) 445-3571
(770) 445-3898
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
ESRD001083
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000619451A
—
GA
Enumeration date
06/28/2006
Last updated
07/09/2025
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