| NPI | 1639715808 |
|---|---|
| Doing Business As | QUEEN CITY DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL WEY VP Licensure & Certification 615-341-6641 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2024-01-26 |