Organization
NORTH ATLANTA DIALYSIS CENTER LLC
Active
Organization
NORTH ATLANTA DIALYSIS CENTER LLC
Active
Other names
Lake Hearn Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O. USILTON JR. (GROUP VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
1150 LAKE HEARN DR NE, SUITE 100, ATLANTA, GA 30342-1522
(404) 847-9850
(404) 847-9261
Mailing address
5200 VIRGINIA WAY, SUITE 400 - L&C DEPT., BRENTWOOD, TN 37027-7569
(615) 320-4218
(303) 209-7825
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001242
GA
Other
Enumeration date
03/14/2006
Last updated
08/02/2007
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