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Organization

EVANS 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
398 TOWN PARK BLVD STE A, EVANS, GA 30809-3519
(706) 619-1264
(706) 619-1275
Mailing address
398 TOWN PARK BLVD STE A, EVANS, GA 30809-3519
(706) 619-1264
(706) 619-1275

Taxonomy

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

Other

Enumeration date
01/15/2021
Last updated
01/10/2023
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