institution
Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Atlanta, Georgia
NPI 1245520394

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 1245520394 and holds a License No. (Georgia).

The current practice location address for Dva Renal Healthcare Inc is 418 Decatur St Se, Atlanta, GA and can be reached out via phone at 404-827-0372 and via fax at 404-524-3651.

Location: 418 Decatur St Se, Atlanta, GA, 37027-7569
institution
Provider Profile Details
NPI Number
1245520394
Provider Name
Dva Renal Healthcare Inc
Credential
Provider Entity Type
Organization
Address
418 Decatur St Se, Atlanta, GA, 37027-7569
Phone Number
404-827-0372
Fax Number
404-524-3651
Provider Enumeration Date
04/11/2011
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
003131929A 05 GA
11D2024784 01 GA CLIA
institution
Provider Business Practice Location Address Details
Address
418 Decatur St Se
City
State
Zip
30312-1801
Phone Number
404-827-0372
Fax Number
404-524-3651
person
Provider Business Mailing Address Details
Address
418 Decatur St Se
City
State
Zip
30312-1801
Phone Number
404-827-0372
Fax Number
404-524-3651
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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