| NPI | 1811403447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABBI JEMAR MCCLAY Owner 404-820-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 2472R0900X |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2021-03-09 |