NPI 1023058898

Spalding County Dialysis, LLC

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

Practice location

Address: 744 S 8th St STE 100, Griffin, GA 30224-4827
Phone: (770) 467-8116
Fax: (770) 467-8795

Authorised official

Name: Mohamad Moussa Kassem
Title: President
Phone: (770) 467-8116

Registered specialties

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

Ambulatory Health Care Facilities Taxonomy 261QE0700X Licence ESRD001194 (GA)

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Registry record

NPI: 1023058898
Entity type: Organization
NPI issued: 8 Jun 2006
Record last updated: 1 Dec 2023

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.