Organization
RCG OF DERMOTT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NED O KRONFOL MD (OWNER/PRESIDENT)
(662) 335-4105
Entity
Organization
Contact information
Practice address
1997 MEDICAL PARK DR, GREENVILLE, MS 38703-7268
(662) 335-4105
(662) 378-2879
Mailing address
115 E PEDDICORD ST, DERMOTT, AR 71638-2314
(662) 335-4105
(662) 378-2879
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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