Organization
PUTNAM DIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUFID A OTHMAN MD (CEO)
(478) 254-7353
Entity
Organization
Contact information
Practice address
301 SOUTH JEFFERSON AVE, SUITE 101, EATONTON, GA 31024
(706) 485-1724
(706) 485-7043
Mailing address
301 SOUTH JEFFERSON AVE, SUITE 101, EATONTON, GA 31024
(706) 485-1724
(706) 485-7043
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
02/26/2025
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