Organization
METHODIST HEALTHCARE DIALYSIS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MITCHELL GRAVES (PRESIDENT)
(901) 516-1400
Entity
Organization
Contact information
Practice address
8071 WINCHESTER RD, SUITE 3, MEMPHIS, TN 38125-8206
(901) 759-2020
(901) 759-2025
Mailing address
6400 SHELBY VIEW DR, SUITE 101, MEMPHIS, TN 38134-7659
(901) 516-1400
(901) 380-8081
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
160
TN
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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