Organization
ACUTE DIALYSIS
Active
Organization
ACUTE DIALYSIS
Active
Other names
Valdosta Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GENEVA M. RAY REGISTERED NURSE (ADMINISTRATOR/ PARTNER)
(229) 242-9610
Entity
Organization
Contact information
Practice address
729 S PATTERSON ST, VALDOSTA, GA 31601-6069
(229) 242-9610
(229) 242-9054
Mailing address
729 S PATTERSON ST, VALDOSTA, GA 31601-6069
(229) 242-9610
(229) 242-9054
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001234
GA
Other
Enumeration date
03/30/2006
Last updated
08/22/2020
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