NRA ORANGEBURG SOUTH CAROLINA LLC
Ambulatory Health at Orangeburg Mall Cir, Orangeburg, SC

License number
South Carolina ERD-131
Category
Ambulatory Health
Type
End-Stage Renal Disease (ESRD) Treatment
Owner
Name: MR. MARK R. FAWCETT
Title: TREASURER
Phone: (781) 699-9000
Address
Address
1184 Orangeburg Mall Cir, Orangeburg, SC 29115
National Provider ID: 1114974516
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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