Organization
ATHENS KIDNEY CENTER P.C.
Active
Organization
ATHENS KIDNEY CENTER P.C.
Active
Other names
Eatonton Kidney Center
Organization subpart
No
Provider details
NPI number
Authorized official
VALARIE LUMPKIN (ADMINISTRATIVE ASSISTANT)
(706) 543-6397
Entity
Organization
Contact information
Practice address
103 N WASHINGTON AVE, EATONTON, GA 31024-1142
(706) 543-6397
Mailing address
1440 N CHASE ST, ATHENS, GA 30601-1850
(706) 543-6397
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
09/16/2019
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