Organization
KIDNEY CENTER OF CENTRAL GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL DENISE TISDALE (PRACTICE MANAGER)
(478) 254-7353
Entity
Organization
Contact information
Practice address
657 HEMLOCK ST STE 200, MACON, GA 31201-8324
(478) 254-7353
(478) 254-7350
Mailing address
657 HEMLOCK ST STE 200, MACON, GA 31201-8324
(478) 461-3291
(478) 254-7353
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
02/10/2011
Last updated
02/11/2026
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