NPI | 1871680264 |
---|---|
Doing Business As | MADISON KIDNEY CENTER |
Entity Type | Organization |
Authorized Contact | AZUBUEZE AFAM ADOGU President 706-543-6397 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD000759) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2009-10-15 |