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Organization

HONEY DIALYSIS LLC

Active
Other names
Snellville Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization

Contact information

Practice address
2135 MAIN ST E, STE 130, SNELLVILLE, GA 30078-6424
(770) 979-3117
(770) 979-3640
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4286
(866) 594-2893

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD000763
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000973134M
GA
01
11D1091193
CLIA WAIVER
GA
Enumeration date
07/09/2008
Last updated
10/17/2016
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