Organization
WEST TENNESSEE KIDNEY SPECIALISTS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KANDALA R CHARY M.D. (REGISTERED AGENT)
(731) 668-4337
Entity
Organization
Contact information
Practice address
221 STERLING FARMS DRIVE, JACKSON, TN 38305-3609
(731) 668-4337
(731) 661-0124
Mailing address
221 STERLING FARMS DRIVE, JACKSON, TN 38305-3609
(731) 668-4337
(731) 661-0124
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2007
Last updated
06/10/2009
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