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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