Organization
DIALYSIS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
3492 WASHINGTON RD, EAST POINT, GA 30344-5662
(404) 768-7890
(404) 768-6789
Mailing address
870 NORTHSIDE DR NW, ATLANTA, GA 30318-8498
(404) 230-2959
(404) 230-2966
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
10/04/2023
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