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Organization

DYERSBURG KIDNEY CLINIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KANDALA RAM CHARY M.D. (MEDICAL DIRECTOR)
(731) 668-6907
Entity
Organization

Contact information

Practice address
16 MURRAY GUARD DRIVE, JACKSON, TN 38305
(731) 668-4284
Mailing address
640C HWY 51 BYPASS, DYERSBURG, TN 38024
(731) 668-6907

Taxonomy

Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
TN
282N00000X
General Acute Care Hospital
MD00000124
TN

Other

Enumeration date
05/22/2007
Last updated
09/11/2025
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