NPI | 1497717607 |
---|---|
Doing Business As | SOUTHGATE DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAMUEL WEY VP Licensure & Certification 615-341-6641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2006-04-04 |
Last Update Date | 2024-05-13 |