Organization · Type 2 NPI

Ridgeland Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Ridgeland, SC

NPI number 1295912004 Active

Practice location

112 Weathersbee St
Ridgeland, SC 29936

Mailing address

5200 Virginia Way, Ste 400 L&c
Brentwood, TN 37027-7569

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1295912004

Ridgeland Dialysis LLC's National Provider Identifier is 1295912004, issued on Jan 23, 2008. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Ridgeland, SC. The record was last updated on Feb 28, 2008.