Organization
BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.
Active
Other names
FMC FORT VALLEY DIALYSIS
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FAWCETT (TREASURER)
(781) 402-9000
Entity
Organization
Contact information
Practice address
135 AVERA DR, FORT VALLEY, GA 31030-5007
(478) 827-0776
Mailing address
135 AVERA DR, FORT VALLEY, GA 31030-5007
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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