Pedernales Dialysis LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1013310150

Pedernales Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Colquitt, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in: GA
In the registry since: 2014

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

213 Delores St
Colquitt, GA 39837-3528
Phone: (229) 758-1985
Fax: (229) 758-2555

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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 (GA)

Record details

NPI number	1013310150
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	James Hilger — Chief Accounting Officer · (253) 733-4500
Other names	Miller Dialysis; Miller Dialysis
NPI enumerated	October 3, 2014
Last updated in NPPES	April 25, 2019
Mailing address	5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569