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 1780734012. The last update date is .
's current location address is 5200 Virginia Way, Brentwood, Tennessee. You can contact this provider via phone number 6152383051 and fax number 8002468346. The mailing address for is 5200 Virginia Way, Brentwood, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 5200 Virginia Way, Brentwood, Tennessee |
Phone Number | 6152383051 |
Fax Number | 8002468346 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1780734012 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 5200 Virginia Way |
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City | Brentwood |
State | Tennessee (TN) |
Post Code | 370277569 |
Phone Number | 6152383051 |
Fax Number | 8002468346 |
Provider's Primary Taxonomy Detail
Speciality | End-stage Renal Disease (esrd) Treatment |
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Taxonomy | 261Qe0700X |
Licence No | 0294DC |
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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2823207 | OH | -- |
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