| NPI | 1205863032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW DIXON Owner/CEO 770-981-0558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD001030) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-08-22 |