is a End-stage Renal Disease (esrd) Treatment in Brentwood, Tennessee. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for is 1669583084. The last update date is .
's current location address is 5200 Virginia Way, Brentwood, Tennessee. You can contact this provider via phone number 6153204593 and fax number 8002935872. The mailing address for is 5200 Virginia Way, Brentwood, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 5200 Virginia Way, Brentwood, Tennessee |
| Phone Number | 6153204593 |
| Fax Number | 8002935872 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1669583084 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 5200 Virginia Way |
|---|---|
| City | Brentwood |
| State | Tennessee (TN) |
| Post Code | 370277569 |
| Phone Number | 6153204593 |
| Fax Number | 8002935872 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100000 | FL | -- |
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