NPI | 1023071545 |
---|---|
Doing Business As | MEMPHIS SOUTH DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAMUEL T WEY Sr Director Licensure&Certification 615-341-6641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TN 136) |
Enumeration Date | 2006-04-07 |
Last Update Date | 2023-10-05 |