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Organization

SOUTHERN RENAL GROUP, INC.

Active
Find providers by NPI
Organization

SOUTHERN RENAL GROUP, INC.

Active
Other names
Lindbergh Dialysis Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BENEDICT EHIRIM (PRESIDENT)
(404) 315-0605
Entity
Organization

Contact information

Practice address
2695 BUFORD HWY NE, SUITE 108, ATLANTA, GA 30324-3278
(404) 315-0605
(404) 315-0607
Mailing address
2695 BUFORD HWY NE, SUITE 108, ATLANTA, GA 30324-3278
(404) 315-0605
(404) 315-0607

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
001254
GA

Other

Enumeration date
05/11/2006
Last updated
08/22/2020
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