Organization
NEPHROLOGY CENTERS OF AMERICA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON E WILLIAMSON M.D. (PRESIDENT)
(706) 722-6900
Entity
Organization
Contact information
Practice address
442 PARK WEST DRIVE, GROVETOWN, GA 30813
(706) 863-3103
(706) 863-1778
Mailing address
1303 DANTIGNAC ST, AUGUSTA, GA 30901-2775
(706) 722-6900
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00950617E
—
GA
Enumeration date
11/01/2006
Last updated
08/22/2020
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