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Nra Midtown Macon Georgia Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Macon, Georgia
NPI 1720035819

Nra Midtown Macon 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 Midtown Macon Georgia Llc practices in Macon, GA. The NPI Number for Nra Midtown Macon Georgia Llc is 1720035819 and holds a License No. (Georgia).

The current practice location address for Nra Midtown Macon Georgia Llc is 657 Hemlock St, Macon, GA and can be reached out via phone at 478-742-8001 and via fax at 478-742-3608.

Location: 657 Hemlock St, Macon, GA, 37067-1731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720035819
Provider Name
Nra Midtown Macon Georgia Llc
Credential
Provider Entity Type
Organization
Address
657 Hemlock St, Macon, GA, 37067-1731
Phone Number
478-742-8001
Fax Number
478-742-3608
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11D1048766 01 GA CLIA CERTIFICATE OF WAIVE
655442926A 05 GA
institution
Provider Business Practice Location Address Details
Address
657 Hemlock St
City
Macon
State
Georgia
Zip
31201-8329
Phone Number
478-742-8001
Fax Number
478-742-3608
person
Provider Business Mailing Address Details
Address
657 Hemlock St
City
Macon
State
Georgia
Zip
31201-8329
Phone Number
478-742-8001
Fax Number
478-742-3608
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.
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Definition
Definition to come...
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