RIDGELAND DIALYSIS LLC NPI 1295912004

NPI Information

  • NPI: 1295912004
  • Provider Name: RIDGELAND DIALYSIS LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: RIDGELAND DIALYSIS
  • Address: 112 WEATHERSBEE ST
    RIDGELAND, SC
    ZIP 29936
  • Phone: (615) 320-4521

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NPI Details

RIDGELAND DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Ridgeland, SC. RIDGELAND DIALYSIS LLC NPI is 1295912004. The provider is registered as an organization entity type.
The provider Is Doing Business As Ridgeland Dialysis.

The provider's business location address is:

112 WEATHERSBEE ST
RIDGELAND, SC
ZIP 29936
Phone: (615) 320-4521

The provider's authorized official is Thomas O Usilton .
The authorized official title is Sr Vice President and has the following contact phone number (770) 541-7922.

The enumeration date for this NPI number is 1/23/2008 and was last updated on 2/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

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This page was last updated on: 11/21/2025

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