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
01/10/2023
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