Organization
EMORY DIALYSIS, LLC
Active
Other names
Emory Dialysis at Greenbriar
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY AGEE-CLARK JOHNSON MBA (CREDENTIALING COORD.)
(229) 387-3528
Entity
Organization
Contact information
Practice address
1000 CENTRE PKWY STE 180, EAST POINT, GA 30344-8119
(404) 778-1001
(404) 649-2645
Mailing address
PO BOX 7710, TIFTON, GA 31793-7710
(229) 387-3528
(229) 386-2149
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
—
560186658A
—
GA
Enumeration date
04/16/2009
Last updated
02/09/2026
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