Organization · Type 2 NPI

Smokie Mountain Dialysis Inc.

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Johnson City, TN

NPI number 1417031071 Active

Practice location

101 Med Tech Pkwy, Suite 406
Johnson City, TN 37604-4007

Mailing address

PO Box 4087
Johnson City, TN 37602-4087

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1417031071

Smokie Mountain Dialysis Inc.'s National Provider Identifier is 1417031071, issued on Oct 24, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Johnson City, TN. The record was last updated on Apr 4, 2011.