Organization
DAVITA DIALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA MULVANEY LMSW (SOCIAL WORKER)
(912) 264-8657
Entity
Organization
Contact information
Practice address
53 SCRANTON CONNECTOR, BRUNSWICK, GA 31525-1862
(912) 264-8657
(912) 265-6542
Mailing address
53 SCRANTON CONNECTOR, BRUNSWICK, GA 31525-1862
(912) 264-8657
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
112514
GA
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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