NPI | 1558556514 |
---|---|
Doing Business As | ATHENS EAST 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 (Licence: GA ESRD000782) |
Enumeration Date | 2007-09-12 |
Last Update Date | 2024-01-29 |