Organization · Type 2 NPI
Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Rome, GA
NPI number
1356319560
Active
Practice location
20 Riverbend Dr SW Ste 100
Rome, GA 30161-6066
Fax (706) 236-9308
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 | ESRD001034 (GA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1356319560
Dva Healthcare Renal Care Inc's National Provider Identifier is 1356319560, 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 Rome, GA. The record was last updated on Dec 3, 2025.