institution
Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Baxley, Georgia
NPI 1316916356

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 Baxley, GA. The NPI Number for Dva Renal Healthcare Inc is 1316916356 and holds a License No. ESRD001055 (Georgia).

The current practice location address for Dva Renal Healthcare Inc is 539 Fair St, Baxley, GA and can be reached out via phone at 912-366-0202 and via fax at 912-366-0333.

Location: 539 Fair St, Baxley, GA, 37027-7569
institution
Provider Profile Details
NPI Number
1316916356
Provider Name
Dva Renal Healthcare Inc
Credential
Provider Entity Type
Organization
Address
539 Fair St, Baxley, GA, 37027-7569
Phone Number
912-366-0202
Fax Number
912-366-0333
Provider Enumeration Date
03/14/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000758403C 05 GA
institution
Provider Business Practice Location Address Details
Address
539 Fair St
City
State
Zip
31513-0112
Phone Number
912-366-0202
Fax Number
912-366-0333
person
Provider Business Mailing Address Details
Address
539 Fair St
City
State
Zip
31513-0112
Phone Number
912-366-0202
Fax Number
912-366-0333
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
ESRD001055 (Georgia)
Definition
Definition to come...
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