institution
Nra Varnville South Carolina Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Varnville, South Carolina
NPI 1831146687

Nra Varnville South Carolina Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Franklin, SC and is specialized in End-Stage Renal Disease (ESRD) Treatment. Nra Varnville South Carolina Llc practices in Varnville, SC. The NPI Number for Nra Varnville South Carolina Llc is 1831146687 and holds a License No. ERD-125 (South Carolina).

The current practice location address for Nra Varnville South Carolina Llc is 593 W Carolina Ave, Varnville, SC and can be reached out via phone at 803-943-4334 and via fax at 803-943-2092.

Location: 593 W Carolina Ave, Varnville, SC, 37067-1731
institution
Provider Profile Details
NPI Number
1831146687
Provider Name
Nra Varnville South Carolina Llc
Credential
Provider Entity Type
Organization
Address
593 W Carolina Ave, Varnville, SC, 37067-1731
Phone Number
803-943-4334
Fax Number
803-943-2092
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42D1005470 01 SC CLIA CERTIFICATE OF WAIVE
ERD125 05 SC
institution
Provider Business Practice Location Address Details
Address
593 W Carolina Ave
City
State
Zip
29944-4735
Phone Number
803-943-4334
Fax Number
803-943-2092
person
Provider Business Mailing Address Details
Address
593 W Carolina Ave
City
State
Zip
29944-4735
Phone Number
803-943-4334
Fax Number
803-943-2092
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-125 (South Carolina)
Definition
Definition to come...
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