institution
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. You can also correspond with Dva Renal Healthcare Inc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-320-4268).

Location: 1250 N Meadow Pkwy Ste 120, Roswell, GA, 37027-7569
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
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000696242B 05 GA
11D0908356 01 GA CLIA WAIVER
institution
Provider Business Practice Location Address Details
Address
1250 N Meadow Pkwy Ste 120
City
State
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
State
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
License No.
ESRD001139 (Georgia)
Definition
Definition to come...
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