Organization
CURLEW DIALYSIS LLC
Active
Other names
McColl Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
3595 HIGHWAY 15-401 E, MCCOLL, SC 29570-5918
(843) 523-6274
(843) 523-5418
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ERD-0203
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083958482
—
NC
05
—
RE0046
—
SC
Enumeration date
11/26/2012
Last updated
12/20/2024
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