Organization
HEAVENER DIALYSIS LLC
Active
Other names
Victory Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
2401 SHELBY ST, COLUMBUS, GA 31903-0000
(706) 682-5327
(706) 682-6059
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4286
(866) 594-2893
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
GA
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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