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Nra-milledgeville Georgia Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Milledgeville, Georgia
NPI 1598711871

Nra-milledgeville 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-milledgeville Georgia Llc practices in Milledgeville, GA. The NPI Number for Nra-milledgeville Georgia Llc is 1598711871 and holds a License No. ESRD001231 (Georgia).

The current practice location address for Nra-milledgeville Georgia Llc is 421 N Jefferson St Ne, Milledgeville, GA and can be reached out via phone at 478-451-0064 and via fax at 478-453-8043.

Location: 421 N Jefferson St Ne, Milledgeville, GA, 37067-1731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598711871
Provider Name
Nra-milledgeville Georgia Llc
Credential
Provider Entity Type
Organization
Address
421 N Jefferson St Ne, Milledgeville, GA, 37067-1731
Phone Number
478-451-0064
Fax Number
478-453-8043
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11D1049749 01 GA CLIA CERTIFICATE OF WAIVE
230307270A 05 GA
institution
Provider Business Practice Location Address Details
Address
421 N Jefferson St Ne
City
Milledgeville
State
Georgia
Zip
31061-2920
Phone Number
478-451-0064
Fax Number
478-453-8043
person
Provider Business Mailing Address Details
Address
421 N Jefferson St Ne
City
Milledgeville
State
Georgia
Zip
31061-2920
Phone Number
478-451-0064
Fax Number
478-453-8043
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.
ESRD001231 (Georgia)
Definition
Definition to come...
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