Nra Monticello Georgia LLC
NPI #1245287358 in Monticello, Georgia
Provider Information
- NPI Number
- 1245287358
- Entity Type
- Organization
- Organization Name
- Nra Monticello Georgia LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- May 27, 2006
- Last Updated
- Jul 22, 2015
Practice Location
- Address
- 1393 FUNDERBURG DR
- City
- Monticello
- State
- Georgia
- ZIP Code
- 31064-6818
- Phone
- (706) 468-1240
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) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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