Organization
KIDNEY CENTER OF HIGHWAY 58, LLC
Active
Organization
KIDNEY CENTER OF HIGHWAY 58, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN CHAMBERLAIN MD (ADMINISTRATOR)
(423) 486-9510
Entity
Organization
Contact information
Practice address
4803 HIGHWAY 58, SUITE B, CHATTANOOGA, TN 37416-1826
(423) 468-3178
Mailing address
3810 BRAINERD RD, CHATTANOOGA, TN 37411-3729
(423) 486-9510
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2010
Last updated
01/17/2014
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