Organization · Type 2 NPI

Dva Renal Healthcare Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Homerville, GA

NPI number 1922076157 Active

Practice location

180 Carswell St, Ste 180
Homerville, GA 31634-2413

Call (912) 487-0092 Map

Fax (912) 487-3533

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XESRD001179 (GA)

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

5 other providers at this address

About NPI 1922076157

Dva Renal Healthcare Inc's National Provider Identifier is 1922076157, issued on Mar 14, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Homerville, GA. The record was last updated on Jul 10, 2007.