Nra-Lagrange, Georgia, Llc in Lagrange - End-stage Renal Disease (esrd) Treatment

Nra-Lagrange, Georgia, Llc - NPI 1417134206

Nra-Lagrange, Georgia, Llc is a End-stage Renal Disease (esrd) Treatment in Lagrange, Georgia. Nra-Lagrange, Georgia, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Nra-Lagrange, Georgia, Llc is 1417134206. The last update date is 2023-10-17.

Nra-Lagrange, Georgia, Llc's current location address is 140 Old Mill Rd, Lagrange, Georgia. You can contact this provider via phone number 7068846825 and fax number 7068846851. The mailing address for Nra-Lagrange, Georgia, Llc is 140 Old Mill Rd, Lagrange, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Nra-Lagrange, Georgia, Llc
Address 140 Old Mill Rd, Lagrange, Georgia
Phone Number 7068846825
Fax Number 7068846851
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Blanton L. Barry
Telephone Number 7816999000

NPI Number Detail

NPI Number 1417134206
Provider Enumeration Date 2008-01-24
Last Updated Date 2023-10-17

Provider Mailing Address Detail

Address 140 Old Mill Rd
City Lagrange
State Georgia (GA)
Post Code 302416704
Phone Number 7068846825
Fax Number 7068846851

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Definition:
Provides dialysis and other medical care to patients with permanent kidney failure.

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FAQs about Nra-Lagrange, Georgia, Llc

What is the unique provider identifier assigned to Nra-Lagrange, Georgia, Llc?

The Nra-Lagrange, Georgia, Llc has been issued the NPI (National Provider Identifier) 1417134206 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Nra-Lagrange, Georgia, Llc located?

The Nra-Lagrange, Georgia, Llc is located at 140 Old Mill Rd, Lagrange, GA 302416704.

What is Nra-Lagrange, Georgia, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Nra-Lagrange, Georgia, Llc's area of specialization is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this field of practice is 261Qe0700X.

When was the Nra-Lagrange, Georgia, Llc's 1417134206 issued?

The Nra-Lagrange, Georgia, Llc's 1417134206 was issued on 2008-01-24.

As of what date was the information pertaining to Nra-Lagrange, Georgia, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Nra-Lagrange, Georgia, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-10-17.

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