| NPI | 1871225300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PKANITA MARION Owner 205-767-9992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-06-24 |