| NPI | 1023058898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMAD MOUSSA KASSEM President 770-467-8116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD001194) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-12-01 |