| NPI | 1194015339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA HARRIS President/CEO 912-238-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA RN115642) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-08 |