institution
Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Cedartown, Georgia
NPI 1700855749

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 Cedartown, GA. The NPI Number for Dva Renal Healthcare Inc is 1700855749 and holds a License No. ESRD001165 (Georgia).

The current practice location address for Dva Renal Healthcare Inc is 325 West Ave, Cedartown, GA and can be reached out via phone at 770-748-1398 and via fax at 770-749-0755.

Location: 325 West Ave, Cedartown, GA, 37027-7569
institution
Provider Profile Details
NPI Number
1700855749
Provider Name
Dva Renal Healthcare Inc
Credential
Provider Entity Type
Organization
Address
325 West Ave, Cedartown, GA, 37027-7569
Phone Number
770-748-1398
Fax Number
770-749-0755
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000859658A 05 GA
institution
Provider Business Practice Location Address Details
Address
325 West Ave
City
State
Zip
30125-3439
Phone Number
770-748-1398
Fax Number
770-749-0755
person
Provider Business Mailing Address Details
Address
325 West Ave
City
State
Zip
30125-3439
Phone Number
770-748-1398
Fax Number
770-749-0755
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
ESRD001165 (Georgia)
Definition
Definition to come...
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