institution
Greater Charleston Dialysis, Pllc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Charleston, West Virginia
NPI 1679568778

Greater Charleston Dialysis, Pllc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in South Charleston, WV and is specialized in End-Stage Renal Disease (ESRD) Treatment. Greater Charleston Dialysis, Pllc practices in South Charleston, WV. The NPI Number for Greater Charleston Dialysis, Pllc is 1679568778 and holds a License No. 43517 (West Virginia).

The current practice location address for Greater Charleston Dialysis, Pllc is 24 Maccorkle Ave Sw, South Charleston, WV and can be reached out via phone at 304-720-2222 and via fax at 304-720-2322.

Location: 24 Maccorkle Ave Sw, South Charleston, WV, 25303-1476
institution
Provider Profile Details
NPI Number
1679568778
Provider Name
Greater Charleston Dialysis, Pllc
Credential
Provider Entity Type
Organization
Address
24 Maccorkle Ave Sw, South Charleston, WV, 25303-1476
Phone Number
304-720-2222
Fax Number
304-720-2322
Provider Enumeration Date
09/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0071269-001 05 WV
institution
Provider Business Practice Location Address Details
Address
24 Maccorkle Ave Sw
City
State
Zip
25303-1476
Phone Number
304-720-2222
Fax Number
304-720-2322
person
Provider Business Mailing Address Details
Address
24 Maccorkle Ave Sw
City
State
Zip
25303-1476
Phone Number
304-720-2222
Fax Number
304-720-2322
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
43517 (West Virginia)
Definition
Definition to come...
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