Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Charlotte, NC

NPI number 1801855366 Active

Practice location

5627 Albemarle Rd
Charlotte, NC 28212-3611

Call (704) 535-3962 Map

Fax (704) 531-4878

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	None listed

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

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NPI record

NPI: 1801855366
Entity type: Organization (Type 2)
Issued: Mar 22, 2006
Last updated: Mar 19, 2024
Status: Active

Other names

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Charlotte East Dialysis · doing business as
Charlotte East Dialysis · doing business as

Authorized official

Samuel T Wey
VP, Licensure & Certification
(615) 341-6641

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About NPI 1801855366

Dva Healthcare Renal Care Inc's National Provider Identifier is 1801855366, issued on Mar 22, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Charlotte, NC. The record was last updated on Mar 19, 2024.