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Organization

SOUTHWEST ATLANTA DIALYSIS CENTERS LLC

Active
Other names
Bakers Ferry 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
3645 BAKERS FERRY RD SW, ATLANTA, GA 30331-3712
(404) 691-1932
(404) 691-2786
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4268
(877) 238-0567

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001225
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000764783C
GA
Enumeration date
03/27/2006
Last updated
11/30/2023
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