Organization
ADAIR DIALYSIS LLC
Active
Other names
Classic City 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
1686 PRINCE AVE, ATHENS, GA 30606-6021
(706) 850-7400
(706) 850-7404
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
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015919587A
—
GA
Enumeration date
05/15/2018
Last updated
02/20/2025
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