institution
Nra Monticello Georgia Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Monticello, Georgia
NPI 1245287358

Nra Monticello 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 Monticello Georgia Llc practices in Monticello, GA. The NPI Number for Nra Monticello Georgia Llc is 1245287358 and holds a License No. ESRD001221 (Georgia).

The current practice location address for Nra Monticello Georgia Llc is 1393 Funderburg Dr, Monticello, GA and can be reached out via phone at 706-468-1240 and via fax at 706-468-5300.

Location: 1393 Funderburg Dr, Monticello, GA, 37067-1731
institution
Provider Profile Details
NPI Number
1245287358
Provider Name
Nra Monticello Georgia Llc
Credential
Provider Entity Type
Organization
Address
1393 Funderburg Dr, Monticello, GA, 37067-1731
Phone Number
706-468-1240
Fax Number
706-468-5300
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11D1049750 01 GA CLIA CERTIFICATE OF WAIVE
419934334A 05 GA
institution
Provider Business Practice Location Address Details
Address
1393 Funderburg Dr
City
State
Zip
31064-6818
Phone Number
706-468-1240
Fax Number
706-468-5300
person
Provider Business Mailing Address Details
Address
1393 Funderburg Dr
City
State
Zip
31064-6818
Phone Number
706-468-1240
Fax Number
706-468-5300
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
ESRD001221 (Georgia)
Definition
Definition to come...
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