NPI | 1285654236 |
---|---|
Doing Business As | GWINNETT DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | KIRTI K SHAH Medical Director 770-962-1231 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2006-07-20 |
Last Update Date | 2015-04-07 |