| NPI | 1174596084 |
|---|---|
| Doing Business As | SOUTHSIDE REGIONAL MEDICAL CENTER - RENAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | PAULA M LALOR Director/Delegated Official 615-925-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: VA H1905) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2017-08-03 |