| NPI | 1104885110 |
|---|---|
| Doing Business As | NEPHROLOGY CENTER OF STATESBORO |
| Entity Type | Organization |
| Authorized Contact | JAMES K HILGER Chief Accounting Officer 253-733-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD001071) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2013-12-19 |