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Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Watkinsville, Georgia
NPI 1366411381

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 Watkinsville, GA. The NPI Number for Dva Healthcare Renal Care Inc is 1366411381 and holds a License No. ESRD001066 (Georgia).

The current practice location address for Dva Healthcare Renal Care Inc is 1747 Langford Dr, Watkinsville, GA and can be reached out via phone at 706-583-1785 and via fax at 706-583-1943.

Location: 1747 Langford Dr, Watkinsville, GA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366411381
Provider Name
Dva Healthcare Renal Care Inc
Credential
Provider Entity Type
Organization
Address
1747 Langford Dr, Watkinsville, GA, 37027-7569
Phone Number
706-583-1785
Fax Number
706-583-1943
Provider Enumeration Date
03/14/2006
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000709233E 05 GA
institution
Provider Business Practice Location Address Details
Address
1747 Langford Dr
City
Watkinsville
State
Georgia
Zip
30677-7370
Phone Number
706-583-1785
Fax Number
706-583-1943
person
Provider Business Mailing Address Details
Address
1747 Langford Dr
City
Watkinsville
State
Georgia
Zip
30677-7370
Phone Number
706-583-1785
Fax Number
706-583-1943
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.
ESRD001066 (Georgia)
Definition
Definition to come...
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