institution
Nra-mt. Pleasant, South Carolina, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mount Pleasant, South Carolina
NPI 1285677963

Nra-mt. Pleasant, South Carolina, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Mount Pleasant, SC and is specialized in End-Stage Renal Disease (ESRD) Treatment. Nra-mt. Pleasant, South Carolina, Llc practices in Mount Pleasant, SC. The NPI Number for Nra-mt. Pleasant, South Carolina, Llc is 1285677963 and holds a License No. ERD-148 (South Carolina).

The current practice location address for Nra-mt. Pleasant, South Carolina, Llc is 1028 Ewall St, Mount Pleasant, SC and can be reached out via phone at 843-884-3115 and via fax at 843-884-3190.

Location: 1028 Ewall St, Mount Pleasant, SC, 29464-3046
institution
Provider Profile Details
NPI Number
1285677963
Provider Name
Nra-mt. Pleasant, South Carolina, Llc
Credential
Provider Entity Type
Organization
Address
1028 Ewall St, Mount Pleasant, SC, 29464-3046
Phone Number
843-884-3115
Fax Number
843-884-3190
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ERD-148 05 SC
42D1044300 01 SC CLIA CERTIFICATE OF WAIVE
institution
Provider Business Practice Location Address Details
Address
1028 Ewall St
City
State
Zip
29464-3046
Phone Number
843-884-3115
Fax Number
843-884-3190
person
Provider Business Mailing Address Details
Address
1028 Ewall St
City
State
Zip
29464-3046
Phone Number
843-884-3115
Fax Number
843-884-3190
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-148 (South Carolina)
Definition
Definition to come...
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