Organization
SEMINOLE DIALYSIS LLC
Active
Other names
West Hiram 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
76 HIGHLAND PAVILION CT, SUITE 129, HIRAM, GA 30141-3170
(678) 384-1180
(678) 384-0662
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003133921A
—
GA
Enumeration date
01/07/2013
Last updated
08/14/2025
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