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Nra-hogansville, Georgia, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hogansville, Georgia
NPI 1497703078

Nra-hogansville, 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-hogansville, Georgia, Llc practices in Hogansville, GA. The NPI Number for Nra-hogansville, Georgia, Llc is 1497703078 and holds a License No. PENDING (Georgia).

The current practice location address for Nra-hogansville, Georgia, Llc is 1002 Williams Street, Hogansville, GA and can be reached out via phone at 706-637-4028 and via fax at 706-637-4382.

Location: 1002 Williams Street, Hogansville, GA, 37067-1731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497703078
Provider Name
Nra-hogansville, Georgia, Llc
Credential
Provider Entity Type
Organization
Address
1002 Williams Street, Hogansville, GA, 37067-1731
Phone Number
706-637-4028
Fax Number
706-637-4382
Provider Enumeration Date
05/05/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
11D1054263 01 GA CLIA CERT OF WAIVER
institution
Provider Business Practice Location Address Details
Address
1002 Williams Street
City
Hogansville
State
Georgia
Zip
30230
Phone Number
706-637-4028
Fax Number
706-637-4382
person
Provider Business Mailing Address Details
Address
1002 Williams Street
City
Hogansville
State
Georgia
Zip
30230
Phone Number
706-637-4028
Fax Number
706-637-4382
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.
PENDING (Georgia)
Definition
Definition to come...
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