Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Aiken, SC

NPI number 1477515575 Active

Practice location

775 Medical Park Dr
Aiken, SC 29801-6306

Call (803) 641-4222 Map

Fax (803) 641-4224

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	ERD-0034 (SC)

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

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NPI record

NPI: 1477515575
Entity type: Organization (Type 2)
Issued: Apr 4, 2006
Last updated: Sep 25, 2023
Status: Active

Other names

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

Authorized official

Samuel T Wey, AO
SR Director Licensure&certification
(615) 341-6641

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1477515575

Dva Healthcare Renal Care Inc's National Provider Identifier is 1477515575, issued on Apr 4, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Aiken, SC. The record was last updated on Sep 25, 2023.