Spalding County Dialysis, Llc

LBN: Spalding County Dialysis, Llc
Spalding County Dialysis, Llc is an health care organization with primary practice located at 744 S 8Th St Ste 100 , Griffin GA 30224-4827. 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. Spalding County Dialysis, Llc can be contacted via phone (770) 467-8116, or through Kassem, Mohamad Moussa via phone (770) 467-8116.

Contact Information

Primary practice address
744 S 8Th St Ste 100 Griffin GA 30224-4827
Phone: (770) 467-8116
Fax: (770) 467-8795
Website:
Map and Directions
Authorized official contact:
Name: Kassem, Mohamad Moussa Doctor of Medicine (MD)
Phone: (770) 467-8116

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X ESRD001194 Georgia

Profile Details

NPI number 1023058898
LBN Legal business name Spalding County Dialysis, Llc
DBA Doing business as
Authorized official Kassem, Mohamad Moussa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Dec 1st, 2023 - about 2 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 1023058898 NPPES
Georgia MEDICAID 00946613A

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