Organization
NCG HOME DIALYSIS OF BARROW COUNTY LLC
Active
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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