Dva Renal Healthcare, Inc.
NPI #1053375030 in Carrollton, Virginia
Provider Information
- NPI Number
- 1053375030
- Entity Type
- Organization
- Organization Name
- Dva Renal Healthcare, Inc.
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Apr 14, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 15225 CARROLLTON BLVD
- City
- Carrollton
- State
- Virginia
- ZIP Code
- 23314-2303
- Phone
- (757) 238-9888
Authorized Official
- Name
- THOMAS O. USILTON JR.
- Title
- GROUP VICE PRESIDENT
- Phone
- (770) 541-7922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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