Nra North Augusta South Carolina Llc

NPI 1477500890 - Clinic/Center - 261QE0700X

NPI Details
NPI 1477500890
Enumeration Date 05/30/2006
Last Updated 09/18/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK R. MARK
Position SVP & TREASURER
Phone (803) 279-3722
Fax (803) 279-3461
Practice Location
10263 ATOMIC RD
NORTH AUGUSTA SC, 29841-4484, US
Phone (803) 279-3722
Fax (803) 279-3461
Business Location
10263 ATOMIC RD
NORTH AUGUSTA SC, 29841-4484, US
Phone (803) 279-3722
Fax (803) 279-3461
Toxanomy
Taxonomy Code 261QE0700X
License State South Carolina
License Number ERD-173
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According to our database, Nra North Augusta South Carolina Llc NPI is 1477500890, taxonomy code is 261QE0700X and license number is ERD-173, license state is located at South Carolina. Nra North Augusta South Carolina Llc physically located at 10263 Atomic Rd, North Augusta SC, 29841-4484. NPI Number 1033115704 has the healthcare provider type.

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1477500890 NPI number is provided on an as is basis without warranty of any kind. 1477500890 is maintained by the National Plan & Provider Enumeration System. The contents of Nra North Augusta South Carolina Llc are for informational purposes only.