Nra-Palmetto, Georgia, Llc in Palmetto - End-stage Renal Disease (esrd) Treatment
Nra-Palmetto, Georgia, Llc - NPI 1760681506
Nra-Palmetto, Georgia, Llc is a End-stage Renal Disease (esrd) Treatment in Palmetto, Georgia. Nra-Palmetto, Georgia, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Nra-Palmetto, Georgia, Llc is 1760681506. The last update date is 2023-10-17.
Nra-Palmetto, Georgia, Llc's current location address is 500 Walnut Way, Palmetto, Georgia. You can contact this provider via phone number 7704631442 and fax number 7704631337. The mailing address for Nra-Palmetto, Georgia, Llc is 500 Walnut Way, Palmetto, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nra-Palmetto, Georgia, Llc |
|---|---|
| Address | 500 Walnut Way, Palmetto, Georgia |
| Phone Number | 7704631442 |
| Fax Number | 7704631337 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Blanton L. Barry |
| Telephone Number | 7816999000 |
NPI Number Detail
| NPI Number | 1760681506 |
|---|---|
| Provider Enumeration Date | 2007-07-12 |
| Last Updated Date | 2023-10-17 |
Provider Mailing Address Detail
| Address | 500 Walnut Way |
|---|---|
| City | Palmetto |
| State | Georgia (GA) |
| Post Code | 302682092 |
| Phone Number | 7704631442 |
| Fax Number | 7704631337 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | ESRD000788 |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11D1072364 | GA | CLIA | |
| 315856063A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Nra-Palmetto, Georgia, Llc by the Centers for Medicare & Medicaid Services?
The Nra-Palmetto, Georgia, Llc has been assigned the NPI (National Provider Identifier) 1760681506 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Nra-Palmetto, Georgia, Llc located?
The Nra-Palmetto, Georgia, Llc is located at 500 Walnut Way, Palmetto, GA 302682092.
What is Nra-Palmetto, Georgia, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Nra-Palmetto, 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.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760681506 to Nra-Palmetto, Georgia, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1760681506 to Nra-Palmetto, Georgia, Llc on 2007-07-12.
When was the Nra-Palmetto, Georgia, Llc's information last updated?
The Nra-Palmetto, Georgia, Llc's information was last updated on 2023-10-17.