| NPI | 1760441745 |
|---|---|
| Doing Business As | PLYMOUTH DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | THOMAS O USILTION Graoup Vice President 770-541-7922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: MA EA1A) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2020-08-22 |