DEMOREST DIALYSIS FACILITY, L.L.C.
Ambulatory Health at Central Ave, Demorest, GA

License number
Georgia ESRD001213
Category
Ambulatory Health
Type
End-Stage Renal Disease (ESRD) Treatment
Owner
Name: MRS. KRISTY W DUNCAN
Title: BILLING SPECIALIST
Phone: (706) 433-0683
Address
Address 2
1507 Central Ave, Demorest, GA 30535
PO Box 6385, Athens, GA 30604
National Provider ID: 1215925375
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DEMOREST DIALYSIS FACILITY, L.L.C. at bizstanding.com

DEMOREST DIALYSIS FACILITY, LLC

1507 Central Ave, Demorest, GA 30535

Status:
Inactive
Registration:
Jul 6, 2001
Inactive since:
Sep 1, 2012
State ID:
0130916
Business type:
Domestic Limited Liability Company
Agent:
Dr Gautam Dasgupta,2047 Prince Ave, Athens, GA 30606 (Physical)

Ambulatory Health licenses in Georgia

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