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Organization

DOCTORS HOSPITAL OF MCMINN COUNTY, LLC

Active
Other names
WOODS REGIONAL DIALYSIS CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN CLAPP (PRESIDENT)
(423) 263-3600
Entity
Organization

Contact information

Practice address
886 HIGHWAY 411 N, ETOWAH, TN 37331-1912
(423) 263-3600
Mailing address
886 HIGHWAY 411 N, ETOWAH, TN 37331-1912
(423) 263-3600

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0442314
TN
Enumeration date
02/04/2008
Last updated
10/02/2009
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