| NPI | 1982679916 |
|---|---|
| Doing Business As | DEGRAY KIDNEY CENTER |
| Entity Type | Organization |
| Authorized Contact | DONETTE LIGON Administrator 501-624-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2012-07-12 |