| NPI | 1265411300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDEEP GREWAL Administrator 423-648-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TN 0000000138) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2015-08-03 |