institution
Nra Macon Georgia Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Macon, Georgia
NPI 1033165154

Nra Macon Georgia Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Franklin, GA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Nra Macon Georgia Llc practices in Macon, GA. The NPI Number for Nra Macon Georgia Llc is 1033165154 and holds a License No. ESRD001230 (Georgia).

The current practice location address for Nra Macon Georgia Llc is 2525 2Nd St, Macon, GA and can be reached out via phone at 478-738-0420 and via fax at 478-745-0460.

Location: 2525 2Nd St, Macon, GA, 37067-1731
institution
Provider Profile Details
NPI Number
1033165154
Provider Name
Nra Macon Georgia Llc
Credential
Provider Entity Type
Organization
Address
2525 2Nd St, Macon, GA, 37067-1731
Phone Number
478-738-0420
Fax Number
478-745-0460
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
813786518A 05 GA
11D1049748 01 GA CLIA CERTIFICATE OF WAIVE
institution
Provider Business Practice Location Address Details
Address
2525 2Nd St
City
State
Zip
31206-2223
Phone Number
478-738-0420
Fax Number
478-745-0460
person
Provider Business Mailing Address Details
Address
2525 2Nd St
City
State
Zip
31206-2223
Phone Number
478-738-0420
Fax Number
478-745-0460
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
ESRD001230 (Georgia)
Definition
Definition to come...
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