institution
Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Rome, Georgia
NPI 1356319560

Dva Healthcare Renal Care 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 Healthcare Renal Care Inc practices in Rome, GA. The NPI Number for Dva Healthcare Renal Care Inc is 1356319560 and holds a License No. ESRD001034 (Georgia).

The current practice location address for Dva Healthcare Renal Care Inc is 20 Riverbend Dr Sw Ste 100, Rome, GA and can be reached out via phone at 706-236-9550 and via fax at 706-236-9308.

Location: 20 Riverbend Dr Sw Ste 100, Rome, GA, 37027-7569
institution
Provider Profile Details
NPI Number
1356319560
Provider Name
Dva Healthcare Renal Care Inc
Credential
Provider Entity Type
Organization
Address
20 Riverbend Dr Sw Ste 100, Rome, GA, 37027-7569
Phone Number
706-236-9550
Fax Number
706-236-9308
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000414741A 05 GA
1356319560 05 AL
institution
Provider Business Practice Location Address Details
Address
20 Riverbend Dr Sw Ste 100
City
State
Zip
30161-6066
Phone Number
706-236-9550
Fax Number
706-236-9308
person
Provider Business Mailing Address Details
Address
20 Riverbend Dr Sw Ste 100
City
State
Zip
30161-6066
Phone Number
706-236-9550
Fax Number
706-236-9308
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
ESRD001034 (Georgia)
Definition
Definition to come...
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