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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