Organization
WAYCROSS DIALYSIS LLC
Active
Other names
Waycross Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JIM HILGER (VICE PRESIDENT)
(253) 382-1919
Entity
Organization
Contact information
Practice address
308 CARSWELL AVE, WAYCROSS, GA 31501-4762
(912) 285-1663
(912) 285-3078
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
Enumeration date
12/30/2008
Last updated
08/25/2009
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