| NPI | 1124155965 |
|---|---|
| Doing Business As | COLQUITT REGIONAL MEDICAL CENTER DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JAMES R LOWRY President 229-985-3420 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: GA 035296) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2009-07-28 |