Organization
HARBIN CLINIC, LLC
Active
Parent organization
HARBIN CLINIC, LLC
Other names
Harbin Clinic Cedartown Dialysis Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARBIN CLINIC, LLC
Authorized official
KENNETH FRANKLIN DAVIS MD (PRESIDENT & CEO)
(706) 295-5331
Entity
Organization
Contact information
Practice address
14 CHEROKEE RD, CEDARTOWN, GA 30125-4381
(770) 748-2567
Mailing address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2007
Last updated
06/17/2008
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