Organization
DIALYSIS ACCESS CENTER OF ATLANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY COPELAND (MANAGER)
(404) 872-3655
Entity
Organization
Contact information
Practice address
552 PONCE DE LEON AVE NE, ATLANTA, GA 30308-1806
(404) 872-3655
(404) 875-6328
Mailing address
1639 PIERCE DR, WMB 338, ATLANTA, GA 30322-0001
(847) 388-2032
(847) 388-2025
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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