Organization
NCG HOME DIALYSIS OF BARROW COUNTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOHN ALES (COO)
(770) 282-1100
Entity
Organization
Contact information
Practice address
655 EXCHANGE BLVD, STE 100, BETHLEHEM, GA 30620-1767
(770) 282-1100
(770) 282-1110
Mailing address
655 EXCHANGE BLVD, SUITE 100, BETHLEHEM, GA 30620-1767
(770) 282-1100
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2014
Last updated
10/01/2015
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