Barnesville Dialysis, LLC

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Barnesville, GA

NPI 1003856840 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1003856840
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
License
ESRD001248 (GA)
Legal business name
BARNESVILLE DIALYSIS, LLC
Practice address
783 Highway 341 S
Barnesville, GA 30204-3793
Phone
(770) 358-1142
Fax
(770) 358-1503
NPI assigned
Jun 8, 2006
Organization subpart
No

Authorized official

Name
Dr. Mohamad Moussa Kassem, MD
Title
President
Phone
(770) 358-1142

National Provider Directory

Locations

783 Veterans Pkwy
Barnesville, GA 30204
Phone (770) 358-1142

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X ESRD001248 GA Yes

Addresses

Primary practice location

783 Highway 341 S
Barnesville, GA 30204-3793

Mailing address

3588 Highway 138 SE
PMB 344
Stockbridge, GA 30281-4171
Phone (770) 358-1142

Other providers in Barnesville, GA

All providers in Barnesville, GA · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.