NPI | 1407936354 |
---|---|
Doing Business As | DICKSON DIALYSIS CLINIC |
Entity Type | Organization |
Authorized Contact | JON M. SUNDOCK Vice President 615-507-3307 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: TN 0000000162) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2011-02-15 |