Organization
BURNEY DIALYSIS LLC
Active
Other names
Valdosta Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
401 NORTHSIDE DR STE A, VALDOSTA, GA 31602-1872
(229) 247-9286
(229) 247-9190
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD000718
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003127493A
—
GA
01
—
11D2039738
CLIA
GA
Enumeration date
01/12/2012
Last updated
02/18/2025
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