Organization
LOUISVILLE DIALYSIS CLINIC LLC
Active
Other names
Nephrology Centers of America - Louisville
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
817 PEACHTREE ST, LOUISVILLE, GA 30434-1449
(478) 625-3311
(478) 625-3555
Mailing address
817 PEACHTREE ST, LOUISVILLE, GA 30434-1449
(478) 625-3311
(478) 625-3555
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
—
000950617D
—
GA
Enumeration date
05/04/2009
Last updated
01/10/2023
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