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Organization

GALLATIN DIALYSIS LLC

Active
Other names
Cardinal Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization

Contact information

Practice address
22 GRANDVIEW PLAZA, SHOPPING CENTER, FLORISSANT, MO 63033-6105
(314) 949-3462
(314) 949-3492
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569

Taxonomy

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

Other

Enumeration date
09/02/2021
Last updated
09/26/2024
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