| NPI | 1982091294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH FRANKLIN DAVIS President & CEO 706-295-5331 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD001288) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-12-01 |