NOVA DIALYSIS CLINIC INC
Ambulatory Health at Memorial Dr, Stone Mountain, GA

License number
Georgia 038149
Category
Ambulatory Health
Type
End-Stage Renal Disease (ESRD) Treatment
Owner
Name: DR. NICHOLAS KEMDI IHENACHO
Title: MD/CEO
Phone: (404) 296-7695
Address
Address
5329 Memorial Dr, Stone Mountain, GA 30083
National Provider ID: 1518146877
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about NOVA DIALYSIS CLINIC INC at bizstanding.com

NOVA DIALYSIS CLINIC, INC

PO Box 870828, Stone Mtn, GA 30087

Registration:
Jul 27, 2005
State ID:
0551587
Business type:
Domestic Profit Corporation
CEOs:
K. Nicholas Ihenacho (Secretary), PO Box 870828, Stone Mtn, GA 30087 (Physical),Kemdi Nicholas Ihenacho (CEO), PO Box 870828, Stone Mtn, GA 30087 (Physical)
Agent:
Nicholas Ihenacho,5329 Memorial Dr Suite A Stone Mtn Ga 30083 SUITE A, Stone Mtn, GA (Physical)

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