Organization
COMMUNITY DIALYSIS CENTER OF COLUMBUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVINDRA AGARWAL M.D. (PRESIDENT)
(706) 494-8900
Entity
Organization
Contact information
Practice address
1120 13TH STREET, COLUMBUS, GA 31901
(706) 507-0004
Mailing address
1120 13TH STREET, COLUMBUS, GA 31901
(706) 507-0004
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001243
GA
Other
Enumeration date
09/11/2006
Last updated
04/18/2008
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