| NPI | 1316474182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN CHAMBERLAIN Administrator 423-443-2146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2021-12-02 |