Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Atlanta, GA

NPI number 1194794149 Active

Practice location

1308 Moreland Ave SE
Atlanta, GA 30316-3224

Call (404) 627-5511 Map

Fax (404) 627-5522

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XESRD001140 (GA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1194794149

Dva Healthcare Renal Care Inc's National Provider Identifier is 1194794149, 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 Oct 14, 2015.