Organization · Type 2 NPI
DRG Fayette PLLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fayette, MS
NPI number
1891978953
Active
Practice location
225 Community Drive, Off Hwy 61
Fayette, MS 39069
Fax (601) 786-6678
Mailing address
5903 Ridgewood Rd, Suite 340
Jackson, MS 39211-3700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
2 other providers at this address
Other end-stage renal disease (esrd) treatment clinic/center providers in Fayette
About NPI 1891978953
DRG Fayette PLLC's National Provider Identifier is 1891978953, issued on Dec 12, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fayette, MS. The record was last updated on Jan 15, 2008.