| NPI | 1003070285 |
|---|---|
| Doing Business As | WIREGRASS KIDNEY CENTER |
| Entity Type | Organization |
| Authorized Contact | SAMUEL T. WEY VP, Licensure & Certification 615-341-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: AL S3503) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2024-03-06 |