institution
Nra-bamberg, South Carolina, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bamberg, South Carolina
NPI 1073560645

Nra-bamberg, South Carolina, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Bamberg, SC and is specialized in End-Stage Renal Disease (ESRD) Treatment. Nra-bamberg, South Carolina, Llc practices in Bamberg, SC. The NPI Number for Nra-bamberg, South Carolina, Llc is 1073560645 and holds a License No. ERD-136 (South Carolina).

The current practice location address for Nra-bamberg, South Carolina, Llc is 2046 Main Hwy, Bamberg, SC and can be reached out via phone at 803-245-1775 and via fax at 803-245-9390.

Location: 2046 Main Hwy, Bamberg, SC, 29003-1082
institution
Provider Profile Details
NPI Number
1073560645
Provider Name
Nra-bamberg, South Carolina, Llc
Credential
Provider Entity Type
Organization
Address
2046 Main Hwy, Bamberg, SC, 29003-1082
Phone Number
803-245-1775
Fax Number
803-245-9390
Provider Enumeration Date
05/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42D1013180 01 SC CLIA CERTIFICATE OF WAIVE
ERD136 05 SC
institution
Provider Business Practice Location Address Details
Address
2046 Main Hwy
City
State
Zip
29003-1082
Phone Number
803-245-1775
Fax Number
803-245-9390
person
Provider Business Mailing Address Details
Address
2046 Main Hwy
City
State
Zip
29003-1082
Phone Number
803-245-1775
Fax Number
803-245-9390
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
ERD-136 (South Carolina)
Definition
Definition to come...
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