Organization · Type 2 NPI
Nra-Holly Hill, South Carolina, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Holly Hill, SC
NPI number
1124061809
Active
Practice location
8532 Old State Rd
Holly Hill, SC 29059-8379
Fax (803) 496-2808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | ERD-137 (SC) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1124061809
Nra-Holly Hill, South Carolina, LLC's National Provider Identifier is 1124061809, issued on Jun 13, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Holly Hill, SC. The record was last updated on Oct 17, 2023.