NPI | 1316916257 |
---|---|
Doing Business As | JONESBORO DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAM T WEY Sr. Director, Licensure And Cert. 615-341-6691 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD001064) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2023-12-06 |