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Organization

NEPHROLOGY CENTERS OF AMERICA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DON E WILLIAMSON M.D. (PRESIDENT)
(706) 722-6900
Entity
Organization

Contact information

Practice address
1201 PEACHTREE ST, LOUISVILLE, GA 30434-1543
(478) 625-3311
(478) 625-3555
Mailing address
1303 DANTIGNAC ST, AUGUSTA, GA 30901-2775
(706) 722-6900

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
00950617C
GA
Enumeration date
11/01/2006
Last updated
08/22/2020
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