institution
Jedburg Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Summerville, South Carolina
NPI 1578740387

Jedburg Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, SC and is specialized in End-Stage Renal Disease (ESRD) Treatment. Jedburg Dialysis Llc practices in Summerville, SC. The NPI Number for Jedburg Dialysis Llc is 1578740387 and holds a License No. ERD-0183 (South Carolina).

The current practice location address for Jedburg Dialysis Llc is 2897 W 5Th North St, Summerville, SC and can be reached out via phone at 843-873-3955 and via fax at 843-873-0266. You can also correspond with Jedburg Dialysis Llc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-320-4230).

Location: 2897 W 5Th North St, Summerville, SC, 37027-7569
institution
Provider Profile Details
NPI Number
1578740387
Provider Name
Jedburg Dialysis Llc
Credential
Provider Entity Type
Organization
Address
2897 W 5Th North St, Summerville, SC, 37027-7569
Phone Number
843-873-3955
Fax Number
843-873-0266
Provider Enumeration Date
01/23/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
ERD183 05 SC
institution
Provider Business Practice Location Address Details
Address
2897 W 5Th North St
City
State
Zip
29483-9674
Phone Number
843-873-3955
Fax Number
843-873-0266
person
Provider Business Mailing Address Details
Address
2897 W 5Th North St
City
State
Zip
29483-9674
Phone Number
843-873-3955
Fax Number
843-873-0266
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-0183 (South Carolina)
Definition
Definition to come...
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