Nra-Eatonton, Georgia, LLC

NPI #1225085004 in Eatonton, Georgia

Provider Information

NPI Number
1225085004
Entity Type
Organization
Organization Name
Nra-Eatonton, Georgia, LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
May 27, 2006
Last Updated
Feb 10, 2011

Practice Location

Address
130 HOSPITAL PERIMETER RD
State
Georgia
ZIP Code
31024-8502
Phone
(706) 484-0123

Authorized Official

Name
MR. JON M. SUNDOCK
Title
VICE PRESIDENT
Phone
(615) 507-3307

Specialties & Taxonomy Codes

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

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