| NPI | 1235114844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PADMANABH MARAMREDDY Medical Director 912-632-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD001239) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2014-12-17 |