NPI | 1972153229 |
---|---|
Doing Business As | WILLIAMSBURG DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | MILES DAVIS Managing Member 800-975-5201 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2019-09-18 |
Last Update Date | 2019-09-18 |