STOCKBRIDGE DIALYSIS CLINIC, LLC
Ambulatory Health at Hannover Pkwy, Stockbridge, GA

License number
Georgia ESRD001247
Category
Ambulatory Health
Type
End-Stage Renal Disease (ESRD) Treatment
Owner
Name: DR. MOHAMAD MOUSSA KASSEM MD
Title: PRESIDENT
Phone: (678) 565-6228
Address
Address
7444 Hannover Pkwy S SUITE 270, Stockbridge, GA 30281
National Provider ID: 1811938277
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about STOCKBRIDGE DIALYSIS CLINIC, LLC at bizstanding.com

STOCKBRIDGE DIALYSIS CLINIC, LLC

3580 Cameron Pkwy, Stockbridge, GA 30281

Industry:
Kidney Dialysis Centers
Doing business as:
Stockbridge Dialysis Clinic
Registration:
Sep 12, 2005
State ID:
0562280
Business type:
Domestic Limited Liability Company
Aprns:
Nicole T. Johnson Aprn, inactive,Joretta Ann Buckner Aprn, inactive
Agent:
Mohamad Kassem,3588 Hwy 138 Se Pmb 302, Stockbridge, GA (Physical)

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