Organization
DIALYSIS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
210 PARK ST, LEESBURG, GA 31763-5192
(229) 759-1998
(229) 759-1999
Mailing address
337 5TH AVE, ALBANY, GA 31701-2029
(229) 888-3996
(229) 888-6668
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2016
Last updated
10/04/2023
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