1073560645 NRA-BAMBERG, SOUTH CAROLINA, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center

Active

Basic Information

Organization Name
NRA-BAMBERG, SOUTH CAROLINA, LLC
Enumeration Date
May 28, 2006
Last Update
October 17, 2023
Authorized Official
BARRY L. BLANTON
VICE PRESIDENT
Phone: (781) 699-9000

Practice Location

Address
2046 MAIN HWY
BAMBERG, SC 290031082
Phone
(803) 245-1775
Fax
(803) 245-9390

Mailing Address

Address
2046 MAIN HWY
BAMBERG, SC 290031082
Phone
(803) 245-1775
Fax
(803) 245-9390

Specialties & Taxonomies

Specialty Code Classification License State Primary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
End-Stage Renal Disease (ESRD) Treatment
261QE0700X Clinic/Center ERD-136 SC Primary

Other Identifiers

Identifier Type State Issuer
42D1013180 01 SC CLIA CERTIFICATE OF WAIVE
ERD136 05 SC N/A

Digital Endpoints

CONNECT Use: OTHER

https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service

2.16.840.1.113883.3.667.2

Affiliation: Ability Network

Frequently Asked Questions

What is NRA-BAMBERG, SOUTH CAROLINA, LLC's NPI number?
NRA-BAMBERG, SOUTH CAROLINA, LLC's NPI number is 1073560645.
Which doctor has NPI number 1073560645?
The doctor with NPI number 1073560645 is NRA-BAMBERG, SOUTH CAROLINA, LLC.
What is NRA-BAMBERG, SOUTH CAROLINA, LLC's practice address?
NRA-BAMBERG, SOUTH CAROLINA, LLC's practice address is 2046 MAIN HWY, BAMBERG, SC, 290031082.
Which doctor practices at 2046 MAIN HWY, BAMBERG, SC, 290031082?
NRA-BAMBERG, SOUTH CAROLINA, LLC practices at 2046 MAIN HWY, BAMBERG, SC, 290031082.
What is NRA-BAMBERG, SOUTH CAROLINA, LLC's phone number?
NRA-BAMBERG, SOUTH CAROLINA, LLC's phone number is (803) 245-1775.
Who is (803) 245-1775?
(803) 245-1775 is the phone number for NRA-BAMBERG, SOUTH CAROLINA, LLC.
What is NRA-BAMBERG, SOUTH CAROLINA, LLC's specialty?
NRA-BAMBERG, SOUTH CAROLINA, LLC's specialty is End-Stage Renal Disease (ESRD) Treatment Clinic/Center.
What type of doctor is NRA-BAMBERG, SOUTH CAROLINA, LLC?
NRA-BAMBERG, SOUTH CAROLINA, LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center.
Is NRA-BAMBERG, SOUTH CAROLINA, LLC a End-Stage Renal Disease (ESRD) Treatment?
Yes, NRA-BAMBERG, SOUTH CAROLINA, LLC is a End-Stage Renal Disease (ESRD) Treatment.
Is NRA-BAMBERG, SOUTH CAROLINA, LLC still practicing?
Yes, NRA-BAMBERG, SOUTH CAROLINA, LLC is currently practicing.
Is NRA-BAMBERG, SOUTH CAROLINA, LLC accepting new patients?
NRA-BAMBERG, SOUTH CAROLINA, LLC may be accepting new patients. Please call their office at (803) 245-1775 to inquire about availability.
Is NPI 1073560645 still active?
Yes, NPI 1073560645 is currently active.
Where does NRA-BAMBERG, SOUTH CAROLINA, LLC practice?
NRA-BAMBERG, SOUTH CAROLINA, LLC practices in BAMBERG, SC.