Organization
CENTRAL GEORGIA DIALYSIS LLC
Active
Other names
East Macon Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
165 EMERY HWY STE 101, MACON, GA 31217-3617
(478) 755-1144
(478) 755-1127
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001047
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110252752A
—
GA
Enumeration date
03/17/2006
Last updated
07/01/2025
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