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Organization

OSAGE DIALYSIS LLC

Active
Other names
McFarland Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization

Contact information

Practice address
6225 ATLANTA HWY STE 117, ALPHARETTA, GA 30004-8799
(770) 569-1275
(770) 475-1932
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
ESRD000703
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003135299A
GA
01
11D2056132
CLIA
GA
01
ESRD000703
ESRD PERMIT
GA
Enumeration date
10/03/2013
Last updated
07/01/2025
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