| NPI | 1467581744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOEEN A HATAB Administrator 865-681-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: TN 0000000124) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2012-01-19 |