EAST TENNESSEE DIALYSIS CENTER INC
Ambulatory Health at Broadway Ave, Maryville, TN

License number
Tennessee 0000000124
Category
Ambulatory Health
Type
End-Stage Renal Disease (ESRD) Treatment
Owner
Name: MR. MOEEN A HATAB PHD
Title: ADMINISTRATOR
Phone: (865) 681-2900
Address
Address 2
1629 E Broadway Ave, Maryville, TN 37804
PO Box 32094, Knoxville, TN 37930
National Provider ID: 1467581744
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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