Organization
MEDICAL KIDNEY SERVICES OF CENTRAL GEORGIA, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY C ROWLAND (CEO)
(478) 453-2031
Entity
Organization
Contact information
Practice address
521 W MONTGOMERY ST, #14A, MILLEDGEVILLE, GA 31061-3293
(478) 453-2031
(478) 452-5225
Mailing address
PO BOX 4207, MACON, GA 31208-4207
(478) 453-2031
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
GA
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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