| NPI | 1235317454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA DIXON Controller 678-565-6228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2014-12-09 |