Organization
ARA-SOUTH AUGUSTA CLINIC LLC
Active
Other names
Nephrology Centers of America-South Augusta
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
1649 GORDON HWY, AUGUSTA, GA 30906-2220
(706) 796-1236
(706) 796-1256
Mailing address
1649 GORDON HWY, AUGUSTA, GA 30906-2220
(706) 796-1236
(706) 796-1256
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00951321A
—
GA
Enumeration date
06/12/2006
Last updated
01/10/2023
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