Nephrology Centers of America, LLC

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

NPI 1992882377 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1992882377
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Legal business name
NEPHROLOGY CENTERS OF AMERICA, LLC
Practice address
1201 Peachtree St
Louisville, GA 30434-1543
Phone
(478) 625-3311
Fax
(478) 625-3555
NPI assigned
Nov 1, 2006
Organization subpart
No

Authorized official

Name
Mr. Don E Williamson, M.D.
Title
President
Phone
(706) 722-6900

National Provider Directory

Locations

1201 Peachtree St
Louisville, GA 30434
Phone (478) 625-3311

Specialties & licenses

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

Addresses

Primary practice location

1201 Peachtree St
Louisville, GA 30434-1543

Mailing address

1303 Dantignac St
Augusta, GA 30901-2775
Phone (706) 722-6900

Other identifiers

IdentifierTypeStateIssuer
00950617CMedicaidGA

Other providers in Louisville, GA

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

Sources for this page

Verify at the official NPI Registry.