Organization
CORDELE DIALYSIS CENTER LLC
Active
Organization
CORDELE DIALYSIS CENTER LLC
Active
Other names
Cordele Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JIM HILGER (VICE PRESIDENT)
(253) 382-1919
Entity
Organization
Contact information
Practice address
1013 E 16TH AVE, CORDELE, GA 31015-1539
(229) 273-0163
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4521
(866) 594-2894
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
—
882488002A
—
GA
Enumeration date
11/08/2007
Last updated
05/06/2009
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