Diversified Renal Group Fayette, Pllc

LBN: Drg Fayette Pllc
Diversified Renal Group Fayette, Pllc is an health care organization with primary practice located at 225 Community Drive Off Hwy 61, Fayette MS 39069. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Drg Fayette Pllc can be contacted via phone (601) 786-6676, or through Olutade, Tunde via phone (601) 899-3340.

Contact Information

Primary practice address
225 Community Drive Off Hwy 61 Fayette MS 39069
Phone: (601) 786-6676
Fax: (601) 786-6678
Website:
Map and Directions
Authorized official contact:
Name: Olutade, Tunde
Phone: (601) 899-3340

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X Mississippi

Profile Details

NPI number 1891978953
LBN Legal business name Drg Fayette Pllc
DBA Doing business as Diversified Renal Group Fayette, Pllc
Authorized official Olutade, Tunde
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2007
Last updated Jan 15th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers