| NPI | 1417016551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB AGBOGU Medical Director 404-669-9669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD001133) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2017-07-21 |