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Organization

DIALYSIS CENTER OF MILLEDGEVILLE LLC

Active
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Organization

DIALYSIS CENTER OF MILLEDGEVILLE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization

Contact information

Practice address
1520 N. COLUMBIA STREET, SUITE 100, MILLEDGEVILLE, GA 31061-2474
(478) 414-0123
(478) 414-0129
Mailing address
1520 N. COLUMBIA STREET, SUITE 100, MILLEDGEVILLE, GA 31061-2474
(478) 414-0123
(478) 414-0129

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003174932A
GA
Enumeration date
06/18/2015
Last updated
05/19/2026
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