Dialysis Clinic Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1164455549

Dialysis Clinic Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in LA Fayette, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in: GA
In the registry since: 2006

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address checks out

614 Patterson Rd
LA Fayette, GA 30728-3326
Phone: (762) 638-6553
Fax: (706) 638-6605

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary)	Taxonomy 261QE0700X · Licence ESRD001103 (GA)

Record details

NPI number	1164455549
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Donovan Schultz — President · (615) 327-3061
NPI enumerated	July 8, 2006
Last updated in NPPES	October 4, 2023
Certification date	October 4, 2023
Mailing address	614 Patterson Rd, La Fayette, GA 30728-3326