Organization
RENVIVA DIALYSIS CENTER OF NORTH GEORGIA LLC
Active
Organization
RENVIVA DIALYSIS CENTER OF NORTH GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKINYINKA AWOSIKA (MEMBER MANAGER)
(321) 710-0352
Entity
Organization
Contact information
Practice address
6120 WINDWARD PKWY STE 170, ALPHARETTA, GA 30005-4185
(321) 710-0352
Mailing address
6120 WINDWARD PKWY STE 170, ALPHARETTA, GA 30005-4185
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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