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Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Decatur, Georgia
NPI 1770551905

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 Decatur, GA. The NPI Number for Dva Renal Healthcare Inc is 1770551905 and holds a License No. ESRD001004 (Georgia).

The current practice location address for Dva Renal Healthcare Inc is 1840 Southern Ln, Decatur, GA and can be reached out via phone at 404-325-8884 and via fax at 404-325-8879.

Location: 1840 Southern Ln, Decatur, GA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770551905
Provider Name
Dva Renal Healthcare Inc
Credential
Provider Entity Type
Organization
Address
1840 Southern Ln, Decatur, GA, 37027-7569
Phone Number
404-325-8884
Fax Number
404-325-8879
Provider Enumeration Date
03/14/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
000622476C 05 GA
institution
Provider Business Practice Location Address Details
Address
1840 Southern Ln
City
Decatur
State
Georgia
Zip
30033-4033
Phone Number
404-325-8884
Fax Number
404-325-8879
person
Provider Business Mailing Address Details
Address
1840 Southern Ln
City
Decatur
State
Georgia
Zip
30033-4033
Phone Number
404-325-8884
Fax Number
404-325-8879
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.
ESRD001004 (Georgia)
Definition
Definition to come...
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