| NPI | 1558403113 |
|---|---|
| Former Legal Business Name | CARROLL COUNTY NEPHROLOGY LLC |
| Entity Type | Organization |
| Authorized Contact | SANDY V BEASLEY Billing & Coding 770-832-0429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-01-31 |