Harbin Clinic, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

HARBIN CLINIC, LLC

Doing business as

Harbin Clinic Summerville Dialysis Center

Practice address

12541 Highway 27
Summerville, GA 30747-5818

Phone

(706) 238-8088

NPI assigned

Oct 11, 2007

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

HARBIN CLINIC, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth Franklin Davis, MD

Title

President & Ceo

Phone

(706) 295-5331

Specialties & licenses 1

Addresses

Other names 1

• Harbin Clinic Summerville Dialysis Center Doing business as

Part of

Harbin Clinic Laboratory

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1861680118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 MARTHA BERRY BLVD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651625",
            "telephone_number": "706-295-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12541 HIGHWAY 27",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307475818",
            "telephone_number": "706-238-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBIN CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARBIN CLINIC, LLC",
        "enumeration_date": "2007-10-11",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "706-295-5331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbin Clinic Summerville Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Georgia CVS Pharmacy LLC (CVS Pharmacy # 04582)
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• Andrew L Gray, R.PH.
• Brandon Gurley
• Heather Michelle Hamilton
• Dwight Mills Harper, RPH
• Joseph Alexander Harrison, LAT, ATC
• Pamela B Helms, FNP
• Meghan Nikohl Helton, PTA
• Breezy Nikkia Henderson

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Summerville, GA
• Providers in Summerville, GA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.