| NPI | 1720035819 |
|---|---|
| Doing Business As | MIDTOWN MACON DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | JON M. SUNDOCK Vice President 615-507-3307 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2015-07-22 |