| NPI | 1114904133 |
|---|---|
| Doing Business As | NORTHSIDE DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | TERRY L HALES Assistant Treasurer 336-716-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2023-08-15 |