institution
Nra-eatonton, Georgia, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Eatonton, Georgia
NPI 1225085004

Nra-eatonton, 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-eatonton, Georgia, Llc practices in Eatonton, GA. The NPI Number for Nra-eatonton, Georgia, Llc is 1225085004 and holds a License No. ESRD001102 (Georgia).

The current practice location address for Nra-eatonton, Georgia, Llc is 130 Hospital Perimeter Rd, Eatonton, GA and can be reached out via phone at 706-484-0123 and via fax at 706-484-0959.

Location: 130 Hospital Perimeter Rd, Eatonton, GA, 37067-1731
institution
Provider Profile Details
NPI Number
1225085004
Provider Name
Nra-eatonton, Georgia, Llc
Credential
Provider Entity Type
Organization
Address
130 Hospital Perimeter Rd, Eatonton, GA, 37067-1731
Phone Number
706-484-0123
Fax Number
706-484-0959
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11D1049747 01 GA CLIA CERTIFICATE OF WAIVE
028198194A 05 GA
institution
Provider Business Practice Location Address Details
Address
130 Hospital Perimeter Rd
City
State
Zip
31024-8502
Phone Number
706-484-0123
Fax Number
706-484-0959
person
Provider Business Mailing Address Details
Address
130 Hospital Perimeter Rd
City
State
Zip
31024-8502
Phone Number
706-484-0123
Fax Number
706-484-0959
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
ESRD001102 (Georgia)
Definition
Definition to come...
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