institution
East Tennessee Dialysis Center Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maryville, Tennessee
NPI 1467581744

East Tennessee Dialysis Center Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Knoxville, TN and is specialized in End-Stage Renal Disease (ESRD) Treatment. East Tennessee Dialysis Center Inc practices in Maryville, TN. The NPI Number for East Tennessee Dialysis Center Inc is 1467581744 and holds a License No. 0000000124 (Tennessee).

The current practice location address for East Tennessee Dialysis Center Inc is 1629 E Broadway Ave, Maryville, TN and can be reached out via phone at 865-681-2900 and via fax at 865-980-0907.

Location: 1629 E Broadway Ave, Maryville, TN, 37930
institution
Provider Profile Details
NPI Number
1467581744
Provider Name
East Tennessee Dialysis Center Inc
Credential
Provider Entity Type
Organization
Address
1629 E Broadway Ave, Maryville, TN, 37930
Phone Number
865-681-2900
Fax Number
865-980-0907
Provider Enumeration Date
03/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0442636 05 TN
institution
Provider Business Practice Location Address Details
Address
1629 E Broadway Ave
City
State
Zip
37804-2913
Phone Number
865-681-2900
Fax Number
865-980-0907
person
Provider Business Mailing Address Details
Address
1629 E Broadway Ave
City
State
Zip
37804-2913
Phone Number
865-681-2900
Fax Number
865-980-0907
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
0000000124 (Tennessee)
Definition
Definition to come...
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