NPI | 1225085004 |
---|---|
Doing Business As | PUTNAM DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | JON M. SUNDOCK Vice President 615-507-3307 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD001102) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2011-02-10 |