institution
Nra-crossville, Tennessee, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Crossville, Tennessee
NPI 1265489686

Nra-crossville, Tennessee, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Crossville, TN and is specialized in End-Stage Renal Disease (ESRD) Treatment. Nra-crossville, Tennessee, Llc practices in Crossville, TN. The NPI Number for Nra-crossville, Tennessee, Llc is 1265489686 and holds a License No. 0000000148 (Tennessee).

The current practice location address for Nra-crossville, Tennessee, Llc is 121 Dooley St, Crossville, TN and can be reached out via phone at 931-484-4500 and via fax at 931-484-2130.

Location: 121 Dooley St, Crossville, TN, 38555-4075
institution
Provider Profile Details
NPI Number
1265489686
Provider Name
Nra-crossville, Tennessee, Llc
Credential
Provider Entity Type
Organization
Address
121 Dooley St, Crossville, TN, 38555-4075
Phone Number
931-484-4500
Fax Number
931-484-2130
Provider Enumeration Date
05/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0442656 05 TN
44D1034070 01 TN CLIA CERTIFICATE OF WAIVE
institution
Provider Business Practice Location Address Details
Address
121 Dooley St
City
State
Zip
38555-4075
Phone Number
931-484-4500
Fax Number
931-484-2130
person
Provider Business Mailing Address Details
Address
121 Dooley St
City
State
Zip
38555-4075
Phone Number
931-484-4500
Fax Number
931-484-2130
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
0000000148 (Tennessee)
Definition
Definition to come...
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