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Drg Fayette Pllc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fayette, Mississippi
NPI 1891978953

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 1891978953 and holds a License No. (Mississippi).

The current practice location address for Drg Fayette Pllc is 225 Community Drive, Fayette, MS and can be reached out via phone at 601-786-6676 and via fax at 601-786-6678.

Location: 225 Community Drive, Fayette, MS, 39211-3700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891978953
Provider Name
Drg Fayette Pllc
Credential
Provider Entity Type
Organization
Address
225 Community Drive, Fayette, MS, 39211-3700
Phone Number
601-786-6676
Fax Number
601-786-6678
Provider Enumeration Date
12/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
225 Community Drive
City
Fayette
State
Mississippi
Zip
39069
Phone Number
601-786-6676
Fax Number
601-786-6678
person
Provider Business Mailing Address Details
Address
225 Community Drive
City
Fayette
State
Mississippi
Zip
39069
Phone Number
601-786-6676
Fax Number
601-786-6678
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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