NPI | 1255448965 |
---|---|
Entity Type | Organization |
Authorized Contact | WAINDEL BELIZAIRE Medical Director 678-641-1230 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA 052252) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2020-08-22 |