NPI 1003311341

Havenwood Dialysis LLC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Newnan, GA

Practice location

Address: 2301 Newnan Crossing Blvd STE 180, Newnan, GA 30265-2576
Phone: (770) 253-2403
Fax: (770) 253-8092
Mailing address: 5200 Virginia Way L&c Dept, Brentwood, TN 37027-7569

Authorised official

Name: Samuel T Wey
Title: Vp Licensure & Certification
Phone: (615) 341-6641

Registered specialties

End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QE0700X

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Registry record

NPI: 1003311341
Entity type: Organization
NPI issued: 28 Mar 2018
Record last updated: 11 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.