Organization
NRA-VALDOSTA (NORTH), GEORGIA, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
KINGS WAY DIALYSIS CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
4358 KINGS WAY, VALDOSTA, GA 31602-6921
(229) 244-6923
(229) 244-6958
Mailing address
4358 KINGS WAY, VALDOSTA, GA 31602-6921
(229) 244-6923
(229) 244-6958
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD000778
GA
Other
Enumeration date
11/09/2007
Last updated
08/20/2021
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