Organization
DIALSIS TREATMENT CENTERS OF MACON LLC
Active
Organization
DIALSIS TREATMENT CENTERS OF MACON LLC
Active
Other names
Dialysis Treatment Centers of Macon
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O USILTON JR. (GROUP VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
745 PINE ST, MACON, GA 31201-2106
(478) 741-9810
(478) 741-9810
Mailing address
5200 VIRGINIA WAY, SUITE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4218
(615) 320-4487
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001045
GA
Other
Enumeration date
03/17/2006
Last updated
08/22/2020
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