Organization
AVAIL SOUTHEAST KIDNEY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM E WOOD II (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
2008 BROOKSIDE DR STE 100, KINGSPORT, TN 37660-4640
(423) 343-5734
Mailing address
3734 W MARTIN MILL PIKE, KNOXVILLE, TN 37920-2453
(865) 573-3944
(865) 579-6226
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
—
Q061460
—
TN
Enumeration date
04/10/2019
Last updated
03/16/2022
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