Organization
HARBIN CLINIC, LLC
Active
Parent organization
HARBIN CLINIC, LLC
Other names
Harbin Clinic Cartersville Home Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARBIN CLINIC, LLC
Authorized official
KENNETH FRANKLIN DAVIS MD (PRESIDENT & CEO)
(706) 295-5331
Entity
Organization
Contact information
Practice address
150 GENTILLY BLVD, CARTERSVILLE, GA 30120-8522
(706) 295-5331
Mailing address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD000707
GA
Other
Enumeration date
02/06/2013
Last updated
12/01/2015
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