Healthcare Provider Details
I. General information
NPI: 1902729684
Provider Name (Legal Business Name): FRESENIUS MEDICAL CARE GORDON COUNTY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
909 CURTIS PARKWAY SE
CALHOUN GA
30701
US
IV. Provider business mailing address
909 CURTIS PARKWAY SE
CALHOUN GA
30701
US
V. Phone/Fax
- Phone: 762-204-6106
- Fax: 706-383-1511
- Phone: 762-204-6106
- Fax: 706-383-1511
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QE0700X |
| Taxonomy | End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BARRY
BLANTON
Title or Position: VICE PRESIDENT
Credential:
Phone: 781-676-5200