Organization · Type 2 NPI
Liberty Dialysis Petersburg, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Petersburg, VA
NPI number
1790798379
Active
Practice location
3400 S Crater Rd
Petersburg, VA 23805-9252
Fax (804) 732-8288
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...
6 other providers at this address
- Southside Kidney SpecialistsNephrology Physician Petersburg, VA NPI 1033130026
- Southside Kidney SpecialistsNephrology Physician Petersburg, VA NPI 1508201385
- Emily Fowler MarshmanFamily Nurse Practitioner Petersburg, VA NPI 1821911231
- Sudhakar Chandrakumar Relton, MDNephrology Physician Petersburg, VA NPI 1710944434
- Tammy Faye PetersonRegistered Dietitian Petersburg, VA NPI 1669498390
- Vijaya Lakshmi Chirumamilla, MDNephrology Physician Petersburg, VA NPI 1194773994
Other end-stage renal disease (esrd) treatment clinic/center providers in Petersburg
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- Petersburg Hospital Company LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Petersburg, VA NPI 1174596084
- TRC - Petersburg LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Petersburg, VA NPI 1366406613
About NPI 1790798379
Liberty Dialysis Petersburg, LLC's National Provider Identifier is 1790798379, issued on Aug 14, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Petersburg, VA. The record was last updated on Sep 1, 2026.