Organization
LEXINGTON KIDNEY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
2831 AUGUSTA RD, WEST COLUMBIA, SC 29170-3322
(803) 796-8785
(803) 794-5485
Mailing address
2831 AUGUSTA RD, WEST COLUMBIA, SC 29170-3322
(803) 796-8785
(803) 794-5485
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2017
Last updated
01/14/2023
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