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Organization

DCA OF SO GA LLC

Active
Parent organization
U S RENAL CARE INC
Other names
U S Renal Care South Georgia Dialysis
Organization subpart
Yes

Provider details

NPI number
Legal business name
U S RENAL CARE INC
Authorized official
MR. THOMAS L WEINBERG (VICE PRESIDENT & SECRETARY)
(214) 736-2700
Entity
Organization

Contact information

Practice address
3564 N CROSSING CIR STE A, VALDOSTA, GA 31602-6413
(229) 249-3222
(229) 249-0775
Mailing address
PO BOX 19119, JONESBORO, AR 72403-6601
(870) 931-5400
(870) 931-5418

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
000895309C
GA
Enumeration date
04/07/2006
Last updated
07/17/2014
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