Organization · Type 2 NPI
Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Edgefield, SC
NPI number
1093777112
Active
Practice location
700 Augusta Rd
Edgefield, SC 29824-1510
Fax (803) 637-3430
Mailing address
5200 Virginia Way, Ste. 400 L&c
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | ERD060 (SC) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Other end-stage renal disease (esrd) treatment clinic/center providers in Edgefield
About NPI 1093777112
Dva Healthcare Renal Care Inc's National Provider Identifier is 1093777112, issued on Apr 4, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Edgefield, SC. The record was last updated on Jul 10, 2007.