Organization
ALPHA AND OMEGA DIALYSIS
Active
Organization
ALPHA AND OMEGA DIALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OWENS (MEMBER)
(404) 419-6344
Entity
Organization
Contact information
Practice address
237 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2537
(404) 419-6344
Mailing address
237 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2537
(404) 419-6344
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/14/2009
Last updated
10/23/2009
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