Organization
DUBLIN DIALYSIS CENTER 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
2400 BELLEVUE RD, SUITE 29A, DUBLIN, GA 31021-2885
(478) 304-1501
(478) 304-1505
Mailing address
2400 BELLEVUE RD, SUITE 29A, DUBLIN, GA 31021-2885
(478) 304-1501
(478) 304-1505
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
—
003119918A
—
GA
Enumeration date
07/25/2011
Last updated
01/10/2023
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