| NPI | 1700855228 |
|---|---|
| Former Legal Business Name | MID-ATLANTIC NEPHROLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | TRACEY S. MOODY Executive Director 804-643-3061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2009-11-16 |