| NPI | 1588923189 |
|---|---|
| Doing Business As | MID SOUTH DIALYSIS SHELBY DR |
| Entity Type | Organization |
| Authorized Contact | DARRYL SMITH Administrator 901-654-3139 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2013-04-30 |