Organization
HONEY DIALYSIS LLC
Active
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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