Organization
ODIORNE DIALYSIS LLC
Active
Other names
Chapel Woods Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2460 WESLEY CHAPEL RD, STE 25D, DECATUR, GA 30035-3420
(770) 987-1439
(678) 418-7948
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003179683A
—
GA
Enumeration date
10/23/2015
Last updated
06/26/2025
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