| NPI | 1770989543 |
|---|---|
| Doing Business As | NCP CHANTILLY |
| Doing Business As | PHYSICIANS DIALYSIS CHANTILLY |
| Entity Type | Organization |
| Authorized Contact | STEVEN JEGER Vice President 305-651-3261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2020-03-26 |