Organization
CAROLINA NEPHROLOGY PA
Active
Other names
Carolina Regional Nephrology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN KOHARA (CONTROLLER)
(864) 271-1844
Entity
Organization
Contact information
Practice address
203 MILLS AVENUE, GREENVILLE, SC 29605-4019
(864) 271-1844
(864) 271-3714
Mailing address
203 MILLS AVENUE, GREENVILLE, SC 29605-4019
(864) 271-1844
(864) 271-3714
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0879
—
SC
Enumeration date
12/05/2005
Last updated
06/21/2021
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