| NPI | 1235411406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMAD KASSEM Owner/Medical Director 678-392-6198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |