Organization
SOUTH AUGUSTA DIALYSIS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
2115 WINDSOR SPRING RD STE 18, AUGUSTA, GA 30906-4883
(706) 798-5774
(706) 796-3465
Mailing address
2115 WINDSOR SPRING RD STE 18, AUGUSTA, GA 30906-4883
(706) 798-5774
(706) 796-3465
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2014
Last updated
05/26/2023
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