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Organization

SOUTHWEST ATLANTA DIALYSIS CENTERS LLC

Active
Other names
East Point Dialysis Center
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization

Contact information

Practice address
2669 CHURCH ST, EAST POINT, GA 30344
(404) 765-1780
(404) 765-9939
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
ESRD001124
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000830035A
GA
Enumeration date
03/14/2006
Last updated
04/22/2025
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