NPI | 1649233222 |
---|---|
Doing Business As | MCMINNVILLE DIALYSIS |
Entity Type | Organization |
Authorized Contact | THOMAS O. USILTON Group Vice President 770-541-7922 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TN 113) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2020-08-22 |