NPI | 1710066428 |
---|---|
Doing Business As | CAMELOT DIALYSIS |
Entity Type | Organization |
Authorized Contact | THOMAS O USILTON Sr Vice President 770-541-7922 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2006-11-03 |
Last Update Date | 2020-08-22 |