| NPI | 1932817400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BELL Office Manager 912-285-2053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |