Community Dialysis Center of Columbus
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Columbus, GA
NPI 1992809172 · NPPES record last updated Apr 18, 2008
Key facts
- NPI
- 1992809172
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- License
- ESRD001243 (GA)
- Legal business name
- COMMUNITY DIALYSIS CENTER OF COLUMBUS
- Practice address
- 1120 13TH Street
Columbus, GA 31901 - Phone
- (706) 507-0004
- NPI assigned
- Sep 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Ravindra Agarwal, M.D.
- Title
- President
- Phone
- (706) 494-8900
Practitioners 1
National Provider Directory
Locations
1120 13th St
Columbus, GA 31901
Phone (706) 494-8900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | ESRD001243 | GA | Yes |
Addresses
Primary practice location
1120 13TH Street
Columbus, GA 31901
Mailing address
1120 13TH Street
Columbus, GA 31901
Phone (706) 507-0004
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.