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Organization

LITHONIA DIALYSIS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW DIXON MD (OWNER/CEO)
(770) 981-0558
Entity
Organization

Contact information

Practice address
5255 SNAPFINGER PARK DR, SUITE 110, DECATUR, GA 30035-4084
(770) 981-0558
(770) 981-4828
Mailing address
5255 SNAPFINGER PARK DR, SUITE 110, DECATUR, GA 30035-4084
(770) 981-0558
(770) 981-4828

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001030
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00787102A/B
GA
Enumeration date
06/27/2006
Last updated
08/22/2020
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