Organization
WAYNESBORO DIALYSIS CLINIC LLC
Active
Other names
Waynesboro Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
163 S LIBERTY ST, WAYNESBORO, GA 30830-4580
(706) 554-4668
(706) 554-5175
Mailing address
163 S LIBERTY ST, WAYNESBORO, GA 30830-4580
(706) 554-4668
(706) 554-5175
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
—
000619561A
—
GA
Enumeration date
05/04/2009
Last updated
01/10/2023
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