| NPI | 1942209713 |
|---|---|
| Doing Business As | RENALSOUTH OF ST. TAMMANY |
| Entity Type | Organization |
| Authorized Contact | TOMMY JAY CARTER CEO 205-943-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: LA 145) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-08-22 |