NPI | 1912156894 |
---|---|
Doing Business As | BULLOCK COUNTY DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | JON M. SUNDOCK Vice President 615-507-3307 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2008-09-16 |
Last Update Date | 2009-02-03 |