Organization · Type 2 NPI
East Tennessee Dialysis Center Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Maryville, TN
NPI number
1467581744
Active
Practice location
1629 E Broadway Ave
Maryville, TN 37804-2913
Fax (865) 980-0907
Mailing address
PO Box 32094
Knoxville, TN 37930
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 0000000124 (TN) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Other end-stage renal disease (esrd) treatment clinic/center providers in Maryville
About NPI 1467581744
East Tennessee Dialysis Center Inc's National Provider Identifier is 1467581744, issued on Mar 5, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Maryville, TN. The record was last updated on Jan 19, 2012.