Organization
ADVANCED DIALYSIS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHYAMAL SARKAR MD (PRESIDENT)
(731) 984-8390
Entity
Organization
Contact information
Practice address
170 MURRAY GUARD DR, SUITE C, JACKSON, TN 38305-3609
(731) 984-8390
(731) 984-8392
Mailing address
170 MURRAY GUARD DR, SUITE C, JACKSON, TN 38305-3609
(731) 984-8390
(731) 984-8392
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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