institution
Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Brunswick, Georgia
NPI 1104895143

Dva Healthcare Renal Care 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 Healthcare Renal Care Inc practices in Brunswick, GA. The NPI Number for Dva Healthcare Renal Care Inc is 1104895143 and holds a License No. ESRD001131 (Georgia).

The current practice location address for Dva Healthcare Renal Care Inc is 53 Scranton Connector, Brunswick, GA and can be reached out via phone at 912-264-8657 and via fax at 912-265-6542.

Location: 53 Scranton Connector, Brunswick, GA, 37027-7569
institution
Provider Profile Details
NPI Number
1104895143
Provider Name
Dva Healthcare Renal Care Inc
Credential
Provider Entity Type
Organization
Address
53 Scranton Connector, Brunswick, GA, 37027-7569
Phone Number
912-264-8657
Fax Number
912-265-6542
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
890065500 05 FL
000410165A 05 GA
institution
Provider Business Practice Location Address Details
Address
53 Scranton Connector
City
State
Zip
31525-1862
Phone Number
912-264-8657
Fax Number
912-265-6542
person
Provider Business Mailing Address Details
Address
53 Scranton Connector
City
State
Zip
31525-1862
Phone Number
912-264-8657
Fax Number
912-265-6542
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
ESRD001131 (Georgia)
Definition
Definition to come...
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