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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