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Drg Fayette, Pllc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fayette, Mississippi
NPI 1649556721

Drg Fayette, Pllc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Jackson, MS and is specialized in End-Stage Renal Disease (ESRD) Treatment. Drg Fayette, Pllc practices in Fayette, MS. The NPI Number for Drg Fayette, Pllc is 1649556721 and holds a License No. (Mississippi).

The current practice location address for Drg Fayette, Pllc is 1005 Main Street, Fayette, MS and can be reached out via phone at 601-488-1070 and via fax at 601-899-3343.

Location: 1005 Main Street, Fayette, MS, 39211-3700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649556721
Provider Name
Drg Fayette, Pllc
Credential
Provider Entity Type
Organization
Address
1005 Main Street, Fayette, MS, 39211-3700
Phone Number
601-488-1070
Fax Number
601-899-3343
Provider Enumeration Date
11/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1005 Main Street
City
Fayette
State
Mississippi
Zip
39069
Phone Number
601-488-1070
Fax Number
601-899-3343
person
Provider Business Mailing Address Details
Address
1005 Main Street
City
Fayette
State
Mississippi
Zip
39069
Phone Number
601-488-1070
Fax Number
601-899-3343
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
(Mississippi)
Definition
Definition to come...
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