Organization
GREENSBORO DIALYSIS FACILITY, L.L.C.
Active
Organization
GREENSBORO DIALYSIS FACILITY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE S SHIRLEY (ADMINISTRATIVE ASSISTANT)
(706) 433-0683
Entity
Organization
Contact information
Practice address
1220 SILOAM RD, GREENSBORO, GA 30642-2810
(706) 453-7222
(706) 453-0022
Mailing address
PO BOX 390, GREENSBORO, GA 30642-0390
(706) 433-0683
(706) 369-1478
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001127
GA
Other
Enumeration date
10/12/2005
Last updated
12/07/2007
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