NPI | 1245292861 |
---|---|
Doing Business As | COLLIERVILLE DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAMUEL T WEY VP Licensure & Certification 615-341-6641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: TN 0000000140) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2024-04-23 |