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Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hinesville, Georgia
NPI 1962470195

Dva Healthcare Renal Care 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 Healthcare Renal Care Inc practices in Hinesville, GA. The NPI Number for Dva Healthcare Renal Care Inc is 1962470195 and holds a License No. ESRD001148 (Georgia).

The current practice location address for Dva Healthcare Renal Care Inc is 522 Elma G Miles Pkwy, Hinesville, GA and can be reached out via phone at 912-368-4850 and via fax at 912-368-7247.

Location: 522 Elma G Miles Pkwy, Hinesville, GA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962470195
Provider Name
Dva Healthcare Renal Care Inc
Credential
Provider Entity Type
Organization
Address
522 Elma G Miles Pkwy, Hinesville, GA, 37027-7569
Phone Number
912-368-4850
Fax Number
912-368-7247
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11D0687785 01 GA CLIA WAIVER
000411386A 05 GA
institution
Provider Business Practice Location Address Details
Address
522 Elma G Miles Pkwy
City
Hinesville
State
Georgia
Zip
31313-4021
Phone Number
912-368-4850
Fax Number
912-368-7247
person
Provider Business Mailing Address Details
Address
522 Elma G Miles Pkwy
City
Hinesville
State
Georgia
Zip
31313-4021
Phone Number
912-368-4850
Fax Number
912-368-7247
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.
ESRD001148 (Georgia)
Definition
Definition to come...
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