Organization · Type 2 NPI

Davita Tidewater - Virginia Beach, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Virginia Beach, VA

NPI number 1710066428 Active

Practice location

1800 Camelot Dr, Ste 100
Virginia Beach, VA 23454-2440

Call (757) 481-6879 Map

Fax (757) 496-0187

Mailing address

5200 Virginia Way, Ste 400 L&c
Brentwood, TN 37027-7569

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

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

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About NPI 1710066428

Davita Tidewater - Virginia Beach, LLC's National Provider Identifier is 1710066428, issued on Nov 3, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Virginia Beach, VA. The record was last updated on Aug 22, 2020.