Organization
PEACHTREE DIALYSIS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN BABAYEV NP (CEO)
(516) 469-7110
Entity
Organization
Contact information
Practice address
3850 HOLCOMB BRIDGE RD STE 435, PEACHTREE CORNERS, GA 30092-2255
(516) 469-7110
Mailing address
3850 HOLCOMB BRIDGE RD STE 435, PEACHTREE CORNERS, GA 30092-2255
(516) 469-7110
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
—
1073059531
—
GA
Enumeration date
09/14/2022
Last updated
10/28/2023
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