DIVERSIFIED RENAL GROUP LLC

JACKSON, MS
NPI1184792038
Entity TypeOrganization
Authorized ContactGARY M DAVIS
Member
601-899-3340
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
Enumeration Date2006-11-30
Last Update Date2008-04-25
Business Address
DIVERSIFIED RENAL GROUP LLC
5903 RIDGEWOOD RD STE 340
JACKSON, MS 39211
Phone number: 601-899-3340
Mailing Address
DIVERSIFIED RENAL GROUP LLC
PO BOX 2057
RIDGELAND, MS 39158
Phone number: 601-899-3340
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