1356384069 NRA-HOLLYWOOD, SOUTH CAROLINA, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Active
Basic Information
- Organization Name
- NRA-HOLLYWOOD, SOUTH CAROLINA, LLC
- Enumeration Date
- June 13, 2006
- Last Update
- October 17, 2023
- Authorized Official
- BARRY L. BLANTON
VICE PRESIDENT
Phone: (781) 699-9000
Practice Location
- Address
- 5953 JACOBS POINT BLVD
RAVENEL, SC 294705643 - Phone
- (843) 571-4025
- Fax
- (843) 571-4015
Mailing Address
- Address
- 5953 JACOBS POINT BLVD
RAVENEL, SC 294705643 - Phone
- (843) 571-4025
- Fax
- (843) 571-4015
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-157 | SC | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ERD-157 | 05 | SC | N/A |
| 42D1052012 | 01 | SC | CLIA CERTIFICATE OF WAIVE |
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-HOLLYWOOD, SOUTH CAROLINA, LLC's NPI number?
NRA-HOLLYWOOD, SOUTH CAROLINA, LLC's NPI number is 1356384069.
Which doctor has NPI number 1356384069?
The doctor with NPI number 1356384069 is NRA-HOLLYWOOD, SOUTH CAROLINA, LLC.
What is NRA-HOLLYWOOD, SOUTH CAROLINA, LLC's practice address?
NRA-HOLLYWOOD, SOUTH CAROLINA, LLC's practice address is 5953 JACOBS POINT BLVD, RAVENEL, SC, 294705643.
Which doctor practices at 5953 JACOBS POINT BLVD, RAVENEL, SC, 294705643?
NRA-HOLLYWOOD, SOUTH CAROLINA, LLC practices at 5953 JACOBS POINT BLVD, RAVENEL, SC, 294705643.
What is NRA-HOLLYWOOD, SOUTH CAROLINA, LLC's phone number?
NRA-HOLLYWOOD, SOUTH CAROLINA, LLC's phone number is (843) 571-4025.
Who is (843) 571-4025?
(843) 571-4025 is the phone number for NRA-HOLLYWOOD, SOUTH CAROLINA, LLC.
What is NRA-HOLLYWOOD, SOUTH CAROLINA, LLC's specialty?
NRA-HOLLYWOOD, SOUTH CAROLINA, LLC's specialty is End-Stage Renal Disease (ESRD) Treatment Clinic/Center.
What type of doctor is NRA-HOLLYWOOD, SOUTH CAROLINA, LLC?
NRA-HOLLYWOOD, SOUTH CAROLINA, LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center.
Is NRA-HOLLYWOOD, SOUTH CAROLINA, LLC a End-Stage Renal Disease (ESRD) Treatment?
Yes, NRA-HOLLYWOOD, SOUTH CAROLINA, LLC is a End-Stage Renal Disease (ESRD) Treatment.
Is NRA-HOLLYWOOD, SOUTH CAROLINA, LLC still practicing?
Yes, NRA-HOLLYWOOD, SOUTH CAROLINA, LLC is currently practicing.
Is NRA-HOLLYWOOD, SOUTH CAROLINA, LLC accepting new patients?
NRA-HOLLYWOOD, SOUTH CAROLINA, LLC may be accepting new patients. Please call their office at (843) 571-4025 to inquire about availability.
Is NPI 1356384069 still active?
Yes, NPI 1356384069 is currently active.
Where does NRA-HOLLYWOOD, SOUTH CAROLINA, LLC practice?
NRA-HOLLYWOOD, SOUTH CAROLINA, LLC practices in RAVENEL, SC.