Lithonia Dialysis Center

LBN: Lithonia Dialysis Center
Lithonia Dialysis Center is an health care organization with primary practice located at 5255 Snapfinger Park Dr Suite 110, Decatur GA 30035-4084. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Lithonia Dialysis Center can be contacted via phone (770) 981-0558, or through Dixon, Andrew via phone (770) 981-0558.

Contact Information

Primary practice address
5255 Snapfinger Park Dr Suite 110 Decatur GA 30035-4084
Fax: (770) 981-4828
Website:
Authorized official contact:
Name: Dixon, Andrew Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X ESRD001030 Georgia

Profile Details

NPI number 1205863032
LBN Legal business name Lithonia Dialysis Center
DBA Doing business as
Authorized official Dixon, Andrew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205863032 NPPES
Georgia MEDICAID 00787102A/B

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