Organization
EMORY DIALYSIS, LLC
Active
Other names
Emory Dialysis Saint Joseph's
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY AGEE-CLARK JOHNSON MBA (CREDENTIALING COORD.)
(229) 387-3528
Entity
Organization
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD STE 501, ATLANTA, GA 30342-2147
(404) 778-8075
(678) 843-6860
Mailing address
PO BOX 7710, TIFTON, GA 31793-7710
(229) 387-3528
(229) 386-2149
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
—
003161161A
—
GA
Enumeration date
08/07/2013
Last updated
02/09/2026
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