| NPI | 1962165829 |
|---|---|
| Doing Business As | GEM STATE DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAM T WEY Sr Director Licensure/Certification 615-341-6691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2023-11-09 |