NRA-HOLLYWOOD, SOUTH CAROLINA, LLC

NPI # 

Practice Address:

5953 Jacobs Point Blvd

Ravenel, SC, 29470-5643

Practice Phone:

843-571-4025

Practice Fax:

843-571-4015

License Number:

ERD-157

License State:

SC

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code:

261QE0700X