institution
Nra-holly Hill, South Carolina, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Holly Hill, South Carolina
NPI 1124061809

Nra-holly Hill, South Carolina, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Holly Hill, SC and is specialized in End-Stage Renal Disease (ESRD) Treatment. Nra-holly Hill, South Carolina, Llc practices in Holly Hill, SC. The NPI Number for Nra-holly Hill, South Carolina, Llc is 1124061809 and holds a License No. ERD-137 (South Carolina).

The current practice location address for Nra-holly Hill, South Carolina, Llc is 8532 Old State Rd, Holly Hill, SC and can be reached out via phone at 803-496-2800 and via fax at 803-496-2808.

Location: 8532 Old State Rd, Holly Hill, SC, 29059-8379
institution
Provider Profile Details
NPI Number
1124061809
Provider Name
Nra-holly Hill, South Carolina, Llc
Credential
Provider Entity Type
Organization
Address
8532 Old State Rd, Holly Hill, SC, 29059-8379
Phone Number
803-496-2800
Fax Number
803-496-2808
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ERD137 05 SC
42D1011035 01 SC CLIA CERTIFICATE OF WAIVE
institution
Provider Business Practice Location Address Details
Address
8532 Old State Rd
City
State
Zip
29059-8379
Phone Number
803-496-2800
Fax Number
803-496-2808
person
Provider Business Mailing Address Details
Address
8532 Old State Rd
City
State
Zip
29059-8379
Phone Number
803-496-2800
Fax Number
803-496-2808
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-137 (South Carolina)
Definition
Definition to come...
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