Organization
NRA-PALMETTO, GEORGIA, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
PALMETTO DIALYSIS CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
500 WALNUT WAY, PALMETTO, GA 30268-2092
(770) 463-1442
(770) 463-1337
Mailing address
500 WALNUT WAY, PALMETTO, GA 30268-2092
(770) 463-1442
(770) 463-1337
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD000788
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D1072364
CLIA
GA
05
—
315856063A
—
GA
Enumeration date
07/12/2007
Last updated
10/17/2023
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