Organization
DECKER DIALYSIS LLC
Active
Other names
Capitol Centre Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JIM HILGER (VICE PRESIDENT)
(253) 382-1919
Entity
Organization
Contact information
Practice address
201 COLUMBIA MALL BLVD, STE 141, COLUMBIA, SC 29223-7536
(615) 320-4521
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4521
(866) 594-2894
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/29/2008
Last updated
06/30/2008
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