Organization
KIDNEY CARE GROUP INC.
Active
Parent organization
KIDNEY CARE GROUP INC.
Other names
Loganville Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIDNEY CARE GROUP INC.
Authorized official
MS. SAIMA BASHIR (OFFICE MANAGER)
(706) 227-4075
Entity
Organization
Contact information
Practice address
3431 HIGHWAY 81, LOGANVILLE, GA 30052-9138
(678) 957-6299
(678) 639-1634
Mailing address
3431 HIGHWAY 81, LOGANVILLE, GA 30052-9138
(678) 957-6299
(678) 639-1634
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001252
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229313363A
—
GA
Enumeration date
11/01/2006
Last updated
03/23/2012
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