| NPI | 1730231382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA MULVANEY Social Worker 912-264-8657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA 112514) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |