| NPI | 1033329198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABATUNDE FARIYIKE Medical Director 706-647-8065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |