| NPI | 1265537302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE VANVALKENBURGH Vice President Clinical Operations 478-798-8003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-11 |