DIVERSIFIED RENAL GROUP LLC NPI 1184792038

NPI Information

DIVERSIFIED RENAL GROUP LLC is a nephrology internal medicine in Jackson, MS. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DIVERSIFIED RENAL GROUP LLC NPI is 1184792038. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5903 RIDGEWOOD RD
STE 340
JACKSON, MS
ZIP 39211
Phone: (601) 899-3340
Fax: (601) 899-3343

The provider's authorized official is Gary M Davis .
The authorized official title is Member and has the following contact phone number (601) 899-3340.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 4/25/2008.

Taxonomy Codes

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