institution
Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Douglasville, Georgia
NPI 1417925561

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 Douglasville, GA. The NPI Number for Dva Healthcare Renal Care Inc is 1417925561 and holds a License No. ESRD001038 (Georgia).

The current practice location address for Dva Healthcare Renal Care Inc is 3899 Longview Dr, Douglasville, GA and can be reached out via phone at 770-949-8403 and via fax at 770-949-8406.

Location: 3899 Longview Dr, Douglasville, GA, 37027-7569
institution
Provider Profile Details
NPI Number
1417925561
Provider Name
Dva Healthcare Renal Care Inc
Credential
Provider Entity Type
Organization
Address
3899 Longview Dr, Douglasville, GA, 37027-7569
Phone Number
770-949-8403
Fax Number
770-949-8406
Provider Enumeration Date
03/14/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000411034A 05 GA
0112526 05 TN
institution
Provider Business Practice Location Address Details
Address
3899 Longview Dr
City
State
Zip
30135-1373
Phone Number
770-949-8403
Fax Number
770-949-8406
person
Provider Business Mailing Address Details
Address
3899 Longview Dr
City
State
Zip
30135-1373
Phone Number
770-949-8403
Fax Number
770-949-8406
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
ESRD001038 (Georgia)
Definition
Definition to come...
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