institution
Liberty Dialysis Petersburg, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Petersburg, Virginia
NPI 1790798379

Liberty Dialysis Petersburg, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Petersburg, VA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Liberty Dialysis Petersburg, Llc practices in Petersburg, VA. The NPI Number for Liberty Dialysis Petersburg, Llc is 1790798379 and holds a License No. (Virginia).

The current practice location address for Liberty Dialysis Petersburg, Llc is 3400 S Crater Rd, Petersburg, VA and can be reached out via phone at 804-732-8228 and via fax at 804-732-8288.

Location: 3400 S Crater Rd, Petersburg, VA, 23805-9252
institution
Provider Profile Details
NPI Number
1790798379
Provider Name
Liberty Dialysis Petersburg, Llc
Credential
Provider Entity Type
Organization
Address
3400 S Crater Rd, Petersburg, VA, 23805-9252
Phone Number
804-732-8228
Fax Number
804-732-8288
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
195526 01 ANTHEM BCBS OF VA
institution
Provider Business Practice Location Address Details
Address
3400 S Crater Rd
City
State
Zip
23805-9252
Phone Number
804-732-8228
Fax Number
804-732-8288
person
Provider Business Mailing Address Details
Address
3400 S Crater Rd
City
State
Zip
23805-9252
Phone Number
804-732-8228
Fax Number
804-732-8288
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
()
Definition
Definition to come...
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