Organization
KIDNEY DIALYSIS & TRANSPLANT GROUP INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NABIL GUIRGUIS (PRESIDENT)
(304) 842-6001
Entity
Organization
Contact information
Practice address
166 THOMPSON DR, BRIDGEPORT, WV 26330-1644
(304) 842-6001
Mailing address
166 THOMPSON DR, BRIDGEPORT, WV 26330-1644
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
20
WV
207RN0300X
Nephrology Physician
Primary
21364
WV
Other
Enumeration date
03/07/2012
Last updated
08/09/2012
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