Organization
UNION COUNTY DIALYSIS, LLC
Active
Organization
UNION COUNTY DIALYSIS, LLC
Active
Other names
UNION COUNTY DIALYSIS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS COLBY TOWNSEND (CHIEF FINANCIAL OFFICER)
(706) 745-2111
Entity
Organization
Contact information
Practice address
72 APPALACHIAN AVE, BLAIRSVILLE, GA 30512-2271
(706) 745-2111
Mailing address
35 HOSPITAL RD, BLAIRSVILLE, GA 30512-3139
(706) 745-2111
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001173
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000876048B
—
GA
05
—
0112680
—
TN
05
—
1102680
—
NC
01
—
112680
MEDICARE ID
GA
Enumeration date
10/07/2016
Last updated
01/10/2017
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