Organization · Type 2 NPI
Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Goldsboro, NC
NPI number
1639695984
Active
Practice location
209 Nc Highway 111 S
Goldsboro, NC 27534-9253
Fax (919) 751-7672
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 | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1639695984
Dva Healthcare Renal Care Inc's National Provider Identifier is 1639695984, issued on Aug 18, 2017. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Goldsboro, NC. The record was last updated on Aug 13, 2026.