NPI age
19 years
Enumerated 2006-07-07
● Active Type 2 · Organization
Subpart
Nra-Valdosta, Georgia, Llc
Nra-Valdosta, Georgia, Llc is 1 of 563 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Blanton
Vice President
Last NPPES update
2023-10-17
Source: monthly bulk 2026-05
How this organization compares
Across 563 active clinic/center providers in Georgia.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1115 S Patterson St
Valdosta, GA 316016347
Mailing address
1115 S Patterson St
Valdosta, GA 316016347
Authorized official
Barry L. Blanton
Vice President
📞 7816999000
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 770096220A | |
| 01 (GA) | 11D1057790 | CLIA CERT OF WAIVER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
VALDOSTA DIALYSIS CLINIC
Practice context
Single-site organization. Only one practice location on file.
Subpart of Fresenius Medical Care Holdings, Inc..
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