institution
Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Atlanta, Georgia
NPI 1104894344

Dva Renal Healthcare Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, GA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Renal Healthcare Inc practices in Atlanta, GA. The NPI Number for Dva Renal Healthcare Inc is 1104894344 and holds a License No. ESRD001026 (Georgia).

The current practice location address for Dva Renal Healthcare Inc is 567 North Ave Ne, Atlanta, GA and can be reached out via phone at 404-853-1662 and via fax at 404-853-3674.

Location: 567 North Ave Ne, Atlanta, GA, 37027-7569
institution
Provider Profile Details
NPI Number
1104894344
Provider Name
Dva Renal Healthcare Inc
Credential
Provider Entity Type
Organization
Address
567 North Ave Ne, Atlanta, GA, 37027-7569
Phone Number
404-853-1662
Fax Number
404-853-3674
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000410374B 05 GA
890095700 05 FL
institution
Provider Business Practice Location Address Details
Address
567 North Ave Ne
City
State
Zip
30308-2721
Phone Number
404-853-1662
Fax Number
404-853-3674
person
Provider Business Mailing Address Details
Address
567 North Ave Ne
City
State
Zip
30308-2721
Phone Number
404-853-1662
Fax Number
404-853-3674
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
ESRD001026 (Georgia)
Definition
Definition to come...
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