Organization · Type 2 NPI
Jedburg Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Summerville, SC
NPI number
1578740387
Active
Practice location
2897 W 5th North St
Summerville, SC 29483-9674
Fax (843) 873-0266
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | ERD-0183 (SC) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1578740387
Jedburg Dialysis LLC's National Provider Identifier is 1578740387, 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 Summerville, SC. The record was last updated on Sep 30, 2015.