Organization
RENALSOUTH OF ROME LLC
Active
Other names
RenalSouth
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET RENAE BROWN (COO)
(205) 815-6541
Entity
Organization
Contact information
Practice address
315 W 10TH ST NE, SUITE 105, ROME, GA 30165-2676
(706) 314-9170
(855) 687-9673
Mailing address
117 GEMINI CIR, SUITE 418, BIRMINGHAM, AL 35209-5874
(205) 815-6541
(855) 291-1660
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD000684
GA
Other
Enumeration date
02/27/2014
Last updated
10/09/2014
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