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Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Roswell, Georgia
NPI 1134197296

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 Roswell, GA. The NPI Number for Dva Renal Healthcare Inc is 1134197296 and holds a License No. ESRD001139 (Georgia).

The current practice location address for Dva Renal Healthcare Inc is 1250 N Meadow Pkwy Ste 120, Roswell, GA and can be reached out via phone at 770-569-2888 and via fax at 770-569-2861.

Location: 1250 N Meadow Pkwy Ste 120, Roswell, GA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134197296
Provider Name
Dva Renal Healthcare Inc
Credential
Provider Entity Type
Organization
Address
1250 N Meadow Pkwy Ste 120, Roswell, GA, 37027-7569
Phone Number
770-569-2888
Fax Number
770-569-2861
Provider Enumeration Date
03/14/2006
Last Update Date
12/14/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
11D0908356 01 GA CLIA WAIVER
000696242B 05 GA
institution
Provider Business Practice Location Address Details
Address
1250 N Meadow Pkwy Ste 120
City
Roswell
State
Georgia
Zip
30076-4914
Phone Number
770-569-2888
Fax Number
770-569-2861
person
Provider Business Mailing Address Details
Address
1250 N Meadow Pkwy Ste 120
City
Roswell
State
Georgia
Zip
30076-4914
Phone Number
770-569-2888
Fax Number
770-569-2861
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
ESRD001139 (Georgia)
Definition
Definition to come...
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