Organization
VILANDER DIALYSIS LLC
Active
Other names
Lilburn Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
4805 LAWRENCEVILLE HWY NW STE 320B, LILBURN, GA 30047-3859
(770) 381-7544
(770) 381-9857
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
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
—
003208626A
—
GA
Enumeration date
08/23/2017
Last updated
04/29/2025
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