Alpha and Omega Dialysis

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

NPI 1093040644 · NPPES record last updated Oct 23, 2009

Key facts

NPI
1093040644
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Legal business name
ALPHA AND OMEGA DIALYSIS
Practice address
237 Upper Riverdale Rd SW
Riverdale, GA 30274-2537
Phone
(404) 419-6344
NPI assigned
Oct 14, 2009
Organization subpart
No

Authorized official

Name
Mark Owens
Title
Member
Phone
(404) 419-6344

National Provider Directory

Specialties & licenses

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

Addresses

Primary practice location

237 Upper Riverdale Rd SW
Riverdale, GA 30274-2537

Mailing address

237 Upper Riverdale Rd SW
Riverdale, GA 30274-2537
Phone (404) 419-6344

Other providers in Riverdale, GA

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

Sources for this page

Verify at the official NPI Registry.