NPI | 1124081195 |
---|---|
Doing Business As | UNIVERSITY DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | THOMAS O USILTON Group Vice President 770-541-7922 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 110000445) |
Enumeration Date | 2006-04-10 |
Last Update Date | 2020-08-22 |