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Nra Manchester Tennessee Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Manchester, Tennessee
NPI 1467499343

Nra Manchester Tennessee Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Nashville, TN and is specialized in End-Stage Renal Disease (ESRD) Treatment. Nra Manchester Tennessee Llc practices in Manchester, TN. The NPI Number for Nra Manchester Tennessee Llc is 1467499343 and holds a License No. 0000000156 (Tennessee).

The current practice location address for Nra Manchester Tennessee Llc is 367 Interstate Dr, Manchester, TN and can be reached out via phone at 931-728-7733 and via fax at 931-728-5595.

Location: 367 Interstate Dr, Manchester, TN, 37219-2301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467499343
Provider Name
Nra Manchester Tennessee Llc
Credential
Provider Entity Type
Organization
Address
367 Interstate Dr, Manchester, TN, 37219-2301
Phone Number
931-728-7733
Fax Number
931-728-5595
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
44D1051727 01 TN CLIA CERTIFICATE OF WAIVE
institution
Provider Business Practice Location Address Details
Address
367 Interstate Dr
City
Manchester
State
Tennessee
Zip
37355-3108
Phone Number
931-728-7733
Fax Number
931-728-5595
person
Provider Business Mailing Address Details
Address
367 Interstate Dr
City
Manchester
State
Tennessee
Zip
37355-3108
Phone Number
931-728-7733
Fax Number
931-728-5595
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
0000000156 (Tennessee)
Definition
Definition to come...
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