| NPI | 1386025906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARACHELVI DHANDAYUTHAPANI Medical Director 601-495-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |