Macon Eastside Dialysis Center LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Macon, GA. Organization (NPI-2).
NPI number1699298794
StatusActive
Last updated in NPPESJul 6, 2026
Details
- NPI
- 1699298794
- Entity type
- Organization (NPI-2)
- Legal business name
- Macon Eastside Dialysis Center LLC
- Organization subpart
- No
- Enumeration date
- Jul 20, 2017
- Certification date
- Jul 6, 2026
- Last updated
- Jul 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Practice location
640 North Ave Ste HMacon, GA 31211-1455
Phone 478-621-0542 · Fax 478-621-0543
Mailing address
640 North Ave Ste HMacon, GA 31211-1455
Phone 478-621-0542 · Fax 478-621-0543
Authorized official
Sara Anne Brady
Chief Nursing Officer
2083717878
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