Organization
SOUTHWEST ATLANTA DIALYSIS CENTERS LLC
Active
Other names
Linden 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
121 LINDEN AVE NE, ATLANTA, GA 30308-2432
(404) 817-9700
(404) 817-6644
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
ESRD001024
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000425532A
—
GA
05
—
1791741
—
LA
Enumeration date
03/17/2006
Last updated
04/23/2025
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