Organization
SATELLITE HEALTHCARE OF LAGRANGE, LLC
Active
Other names
Satellite Healthcare LaGrange
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS R WILLIAMS (CEO)
(650) 404-3600
Entity
Organization
Contact information
Practice address
109 PARKER DR, LAGRANGE, GA 30240-6436
(706) 530-2804
(706) 530-2805
Mailing address
PO BOX 45867, SAN FRANCISCO, CA 94145-0867
(480) 436-2496
(480) 692-2904
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
08/14/2023
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