| NPI | 1265420327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE S SHIRLEY Administrative Assistant 706-433-0683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD001127) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2007-12-07 |