institution
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
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
State
Zip
30033-4033
Phone Number
404-325-8884
Fax Number
404-325-8879
person
Provider Business Mailing Address Details
Address
1840 Southern Ln
City
State
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
License No.
ESRD001004 (Georgia)
Definition
Definition to come...
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