| NPI | 1811938277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMAD MOUSSA KASSEM President 678-565-6228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD001247) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |