Organization
DIALYSIS OF GOLDEN ISLES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED ELSHARKAWI MD (MEDICAL DIRECTOR)
(205) 271-2129
Entity
Organization
Contact information
Practice address
475 GATEWAY CENTER BLVD, BRUNSWICK, GA 31525
(205) 271-2129
(205) 271-2139
Mailing address
117 GEMINI CIR, SUTIE 418, BIRMINGHAM, AL 35209-5874
(205) 271-2129
(205) 271-2139
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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