| NPI | 1093040644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK OWENS Member 404-419-6344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-23 |