Organization
BROOKHAVEN RENAL SYSTEMS, LLC
Active
Other names
Brookhaven Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A AKINTADE R.N (CHIEF OPERATING OFFICER)
(404) 454-2519
Entity
Organization
Contact information
Practice address
2695 BUFORD HWY NE, ATLANTA, GA 30324-3278
(404) 454-2519
Mailing address
1354 CLEVELAND AVE, EAST POINT, GA 30344-3431
(404) 454-2519
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2013
Last updated
01/24/2014
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