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NPI Code Detail

MEDICARE: DIALYSIS ASSOCIATES, LLC

MEDICARE: DIALYSIS ASSOCIATES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number : 1992817712
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIALYSIS ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 1120 LAKEVIEW DR
Second Line : STE 400
City : FRANKLIN
State : TN
Zip : 37067-3088
Country : US
Telephone Number : 615-599-9810
Fax Number : 615-791-4348
Provider Business Practice Location Address
First Line : 1120 LAKEVIEW DR
Second Line : STE 400
City : FRANKLIN
State : TN
Zip : 37067-3088
Country : US
Telephone Number : 615-599-9810
Fax Number : 615-791-4348
Authorized Official
Title or Position : TREASURER
Name : MARK FAWCETT
Credential :
Telephone Number : 781-699-9000
Provider Enumeration Date : 08/31/2006
Last Update Date : 05/05/2017

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