| NPI | 1528621042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN CARTER Owner 770-687-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2021-02-16 |