Organization
BAYSHORE DIALYSIS LLC
Active
Other names
Savannah Riverside 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
540 E OGLETHORPE AVE, SAVANNAH, GA 31401-4121
(912) 236-3053
(912) 238-1024
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003155151A
—
GA
Enumeration date
07/08/2014
Last updated
03/11/2026
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