Organization
SOUTHWEST ATLANTA DIALYSIS CENTERS LLC
Active
Other names
Decatur Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1987 CANDLER RD, DECATUR, GA 30032
(404) 286-1700
(404) 286-1710
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
ESRD001002
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000764783A
—
GA
Enumeration date
03/14/2006
Last updated
05/28/2025
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