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Organization

DIALYSIS CLINIC INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization

Contact information

Practice address
806 FORRESTER DR SE, DAWSON, GA 39842-2043
(229) 995-2433
(229) 995-3299
Mailing address
337 5TH AVE, ALBANY, GA 31701-2029
(229) 888-3996
(229) 888-6668

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001118
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000479707A
GA
05
00482897A
GA
Enumeration date
07/08/2006
Last updated
10/05/2023
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