institution
Nra-north Augusta, South Carolina, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in North Augusta, South Carolina
NPI 1477500890

Nra-north Augusta, South Carolina, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in North Augusta, SC and is specialized in End-Stage Renal Disease (ESRD) Treatment. Nra-north Augusta, South Carolina, Llc practices in North Augusta, SC. The NPI Number for Nra-north Augusta, South Carolina, Llc is 1477500890 and holds a License No. ERD-173 (South Carolina).

The current practice location address for Nra-north Augusta, South Carolina, Llc is 10263 Atomic Rd, North Augusta, SC and can be reached out via phone at 803-279-3722 and via fax at 803-279-3461.

Location: 10263 Atomic Rd, North Augusta, SC, 29841-4484
institution
Provider Profile Details
NPI Number
1477500890
Provider Name
Nra-north Augusta, South Carolina, Llc
Credential
Provider Entity Type
Organization
Address
10263 Atomic Rd, North Augusta, SC, 29841-4484
Phone Number
803-279-3722
Fax Number
803-279-3461
Provider Enumeration Date
05/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42D1057702 01 SC CLIA CERTIFICATE OF WAIVE
ERD173 05 SC
institution
Provider Business Practice Location Address Details
Address
10263 Atomic Rd
City
State
Zip
29841-4484
Phone Number
803-279-3722
Fax Number
803-279-3461
person
Provider Business Mailing Address Details
Address
10263 Atomic Rd
City
State
Zip
29841-4484
Phone Number
803-279-3722
Fax Number
803-279-3461
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-173 (South Carolina)
Definition
Definition to come...
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