Organization · Type 2 NPI
Dva Renal Healthcare, Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Atlanta, GA
NPI number
1417926486
Active
Practice location
1741 Commerce Dr NW Ste 405
Atlanta, GA 30318-3107
Fax (404) 351-9470
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 | ESRD001223 (GA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1417926486
Dva Renal Healthcare, Inc.'s National Provider Identifier is 1417926486, 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 Jun 9, 2025.