NPI | 1962434035 |
---|---|
Other Name | RAI-RICHMOND RD.-WILLIAMSBURG |
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 | 2006-07-07 |
Last Update Date | 2020-08-22 |