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Dca Of Central Valdosta Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Valdosta, Georgia
NPI 1982667408

Dca Of Central Valdosta Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Jonesboro, GA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dca Of Central Valdosta Llc practices in Valdosta, GA. The NPI Number for Dca Of Central Valdosta Llc is 1982667408 and holds a License No. (Georgia).

The current practice location address for Dca Of Central Valdosta Llc is 506 N Patterson St, Valdosta, GA and can be reached out via phone at 229-219-0099 and via fax at 229-219-7331.

Location: 506 N Patterson St, Valdosta, GA, 72403-6601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982667408
Provider Name
Dca Of Central Valdosta Llc
Credential
Provider Entity Type
Organization
Address
506 N Patterson St, Valdosta, GA, 72403-6601
Phone Number
229-219-0099
Fax Number
229-219-7331
Provider Enumeration Date
04/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000895309E 05 GA
112699 01 GA VA MEDICAL CENTER
institution
Provider Business Practice Location Address Details
Address
506 N Patterson St
City
Valdosta
State
Georgia
Zip
31601-4608
Phone Number
229-219-0099
Fax Number
229-219-7331
person
Provider Business Mailing Address Details
Address
506 N Patterson St
City
Valdosta
State
Georgia
Zip
31601-4608
Phone Number
229-219-0099
Fax Number
229-219-7331
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.
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Definition
Definition to come...
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