Organization · Type 2 NPI
Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Atlanta, GA
NPI number
1104894344
Active
Practice location
567 North Ave NE, Ste 200
Atlanta, GA 30308-2721
Fax (404) 853-3674
Mailing address
5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | ESRD001026 (GA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1104894344
Dva Renal Healthcare Inc's National Provider Identifier is 1104894344, issued on Mar 14, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Atlanta, GA. The record was last updated on Sep 25, 2025.