| NPI | 1083601678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PADMANABH MARAMREDDY Medical Director 912-285-2487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2011-10-07 |