institution
Davita Tidewater - Virginia Beach, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Virginia Beach, Virginia
NPI 1689605008

Davita Tidewater - Virginia Beach, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, VA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Davita Tidewater - Virginia Beach, Llc practices in Virginia Beach, VA. The NPI Number for Davita Tidewater - Virginia Beach, Llc is 1689605008 and holds a License No. (Virginia).

The current practice location address for Davita Tidewater - Virginia Beach, Llc is 1800 Camelot Dr, Virginia Beach, VA and can be reached out via phone at 757-481-6879 and via fax at 757-496-0187.

Location: 1800 Camelot Dr, Virginia Beach, VA, 37027-7569
institution
Provider Profile Details
NPI Number
1689605008
Provider Name
Davita Tidewater - Virginia Beach, Llc
Credential
Provider Entity Type
Organization
Address
1800 Camelot Dr, Virginia Beach, VA, 37027-7569
Phone Number
757-481-6879
Fax Number
757-496-0187
Provider Enumeration Date
07/05/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1689605008 05 VA
institution
Provider Business Practice Location Address Details
Address
1800 Camelot Dr
City
State
Zip
23454-2440
Phone Number
757-481-6879
Fax Number
757-496-0187
person
Provider Business Mailing Address Details
Address
1800 Camelot Dr
City
State
Zip
23454-2440
Phone Number
757-481-6879
Fax Number
757-496-0187
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
(Virginia)
Definition
Definition to come...
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