Organization
FRESENIUS MEDICAL CARE MADISON PARISH DIALYSIS CEN
Active
Other names
FMC MADISON PARISH DIALYSIS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FAWCETT (TREASURER)
(781) 402-9000
Entity
Organization
Contact information
Practice address
1004 JOHNSON ST, TALLULAH, LA 71282-5216
(318) 574-0804
Mailing address
1004 JOHNSON ST, TALLULAH, LA 71282-5216
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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