Organization
GEORGIA KIDNEY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAINDEL BELIZAIRE MD (MEDICAL DIRECTOR)
(678) 641-1230
Entity
Organization
Contact information
Practice address
2920 METROPOLITAN PKWY SW, ATLANTA, GA 30315-7918
(678) 641-1230
(678) 302-7309
Mailing address
2920 METROPOLITAN PKWY SW, ATLANTA, GA 30315-7918
(678) 641-1230
(678) 302-7309
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
052252
GA
Other
Enumeration date
08/25/2006
Last updated
08/22/2020
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