institution
Nra-palmetto, Georgia, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Palmetto, Georgia
NPI 1760681506

Nra-palmetto, Georgia, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Palmetto, GA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Nra-palmetto, Georgia, Llc practices in Palmetto, GA. The NPI Number for Nra-palmetto, Georgia, Llc is 1760681506 and holds a License No. ESRD000788 (Georgia).

The current practice location address for Nra-palmetto, Georgia, Llc is 500 Walnut Way, Palmetto, GA and can be reached out via phone at 770-463-1442 and via fax at 770-463-1337.

Location: 500 Walnut Way, Palmetto, GA, 30268-2092
institution
Provider Profile Details
NPI Number
1760681506
Provider Name
Nra-palmetto, Georgia, Llc
Credential
Provider Entity Type
Organization
Address
500 Walnut Way, Palmetto, GA, 30268-2092
Phone Number
770-463-1442
Fax Number
770-463-1337
Provider Enumeration Date
07/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11D1072364 01 GA CLIA
315856063A 05 GA
institution
Provider Business Practice Location Address Details
Address
500 Walnut Way
City
State
Zip
30268-2092
Phone Number
770-463-1442
Fax Number
770-463-1337
person
Provider Business Mailing Address Details
Address
500 Walnut Way
City
State
Zip
30268-2092
Phone Number
770-463-1442
Fax Number
770-463-1337
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
ESRD000788 (Georgia)
Definition
Definition to come...
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