| NPI | 1851594329 |
|---|---|
| Doing Business As | SOUTHSTAR ADAMSVILLE DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAM T WEY Sr Director Licensure&Certification 615-341-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD000784) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2023-08-09 |