| NPI | 1740241728 |
|---|---|
| Doing Business As | VALDOSTA DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | GENEVA M. RAY Administrator/ Partner 229-242-9610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD001234) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2020-08-22 |