NPI | 1336483478 |
---|---|
Doing Business As | BREWTON DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAMUEL WEY VP L Icensure & Certification 615-341-6641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: AL S2704) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2024-04-08 |