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Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Douglas, Georgia
NPI 1376511550

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 Douglas, GA. The NPI Number for Dva Renal Healthcare Inc is 1376511550 and holds a License No. ESRD001018 (Georgia).

The current practice location address for Dva Renal Healthcare Inc is 190 Westside Dr Ste A, Douglas, GA and can be reached out via phone at 912-384-3439 and via fax at 912-383-6324.

Location: 190 Westside Dr Ste A, Douglas, GA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376511550
Provider Name
Dva Renal Healthcare Inc
Credential
Provider Entity Type
Organization
Address
190 Westside Dr Ste A, Douglas, GA, 37027-7569
Phone Number
912-384-3439
Fax Number
912-383-6324
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000407932B 05 GA
institution
Provider Business Practice Location Address Details
Address
190 Westside Dr Ste A
City
Douglas
State
Georgia
Zip
31533-3534
Phone Number
912-384-3439
Fax Number
912-383-6324
person
Provider Business Mailing Address Details
Address
190 Westside Dr Ste A
City
Douglas
State
Georgia
Zip
31533-3534
Phone Number
912-384-3439
Fax Number
912-383-6324
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.
ESRD001018 (Georgia)
Definition
Definition to come...
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