Organization · Type 2 NPI

Dva Renal Healthcare Inc

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

NPI number 1205804309 Active

Practice location

11706 Mercy Blvd Ste 9
Savannah, GA 31419-1751

Call (912) 961-6006 Map

Fax (912) 961-9257

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	ESRD001082 (GA)

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

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NPI record

NPI: 1205804309
Entity type: Organization (Type 2)
Issued: Mar 14, 2006
Last updated: Jul 18, 2025
Status: Active

Other names

<unavail>
Abercorn Dialysis · doing business as
Abercorn Dialysis · doing business as

Authorized official

Samuel T. Wey, AO
VP, Licensure & Certification
(615) 341-6641

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About NPI 1205804309

Dva Renal Healthcare Inc's National Provider Identifier is 1205804309, 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 Savannah, GA. The record was last updated on Jul 18, 2025.