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Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Springfield, Georgia
NPI 1174592174

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 Springfield, GA. The NPI Number for Dva Renal Healthcare Inc is 1174592174 and holds a License No. ESRD001022 (Georgia).

The current practice location address for Dva Renal Healthcare Inc is 1451 Ga Highway 21 S Ste A, Springfield, GA and can be reached out via phone at 912-754-4289 and via fax at 912-754-6564.

Location: 1451 Ga Highway 21 S Ste A, Springfield, GA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174592174
Provider Name
Dva Renal Healthcare Inc
Credential
Provider Entity Type
Organization
Address
1451 Ga Highway 21 S Ste A, Springfield, GA, 37027-7569
Phone Number
912-754-4289
Fax Number
912-754-6564
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ES3001 05 SC
000893153G 05 GA
institution
Provider Business Practice Location Address Details
Address
1451 Ga Highway 21 S Ste A
City
Springfield
State
Georgia
Zip
31329-5244
Phone Number
912-754-4289
Fax Number
912-754-6564
person
Provider Business Mailing Address Details
Address
1451 Ga Highway 21 S Ste A
City
Springfield
State
Georgia
Zip
31329-5244
Phone Number
912-754-4289
Fax Number
912-754-6564
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.
ESRD001022 (Georgia)
Definition
Definition to come...
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