Organization Name: | USRC MURRAY COUNTY LLC |
NPI Number: | 1215239538 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS L WEINBERG (SENIOR VP/GENERAL COUNSEL) |
Mailing Address: | 108 Hospital Dr Chatsworth |
State: | GA US |
Postal Code: | 307052058 |
Phone Number: | 7062450817 |
Fax Number: | 7062456450 |
NPI Enumeration Date: | 11/18/2010 |
NPI Last Update Date: | 10/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |