institution
Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Valdosta, Georgia
NPI 1366410417

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 Valdosta, GA. The NPI Number for Dva Healthcare Renal Care Inc is 1366410417 and holds a License No. ESRD001147 (Georgia).

The current practice location address for Dva Healthcare Renal Care Inc is 2704 N Oak St, Valdosta, GA and can be reached out via phone at 229-247-4857 and via fax at 229-245-8658. You can also correspond with Dva Healthcare Renal Care Inc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-320-4268).

Location: 2704 N Oak St, Valdosta, GA, 37027-7569
institution
Provider Profile Details
NPI Number
1366410417
Provider Name
Dva Healthcare Renal Care Inc
Credential
Provider Entity Type
Organization
Address
2704 N Oak St, Valdosta, GA, 37027-7569
Phone Number
229-247-4857
Fax Number
229-245-8658
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000410143A 05 GA
institution
Provider Business Practice Location Address Details
Address
2704 N Oak St
City
State
Zip
31602-1723
Phone Number
229-247-4857
Fax Number
229-245-8658
person
Provider Business Mailing Address Details
Address
2704 N Oak St
City
State
Zip
31602-1723
Phone Number
229-247-4857
Fax Number
229-245-8658
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
ESRD001147 (Georgia)
Definition
Definition to come...
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