Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hemodialysis |
163WH0500X |
| NPI # | 1336824135 |
| LBN Legal business name | AMERICAN ACADEMY OF DIALYSIS-VASCULAR SPECIALISTS |
| Authorized official | PEACHES WILLIAMS - (ADMINISTRATOR/CCO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/19/2023 |
| Last updated | 11/18/2023 - About 3 years ago |
| Identifiers | n/a |
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