Organization · Type 2 NPI
Dva Healthcare of Tuscaloosa LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fayette, AL
NPI number
1902879117
Active
Practice location
2450 Temple Ave N
Fayette, AL 35555-1160
Fax (205) 932-8332
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 | S2901 (AL) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1902879117
Dva Healthcare of Tuscaloosa LLC's National Provider Identifier is 1902879117, issued on Feb 8, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fayette, AL. The record was last updated on Feb 21, 2024.