Dva Healthcare Renal Care INC

NPI #1093777112 in Edgefield, South Carolina

Provider Information

NPI Number
1093777112
Entity Type
Organization
Organization Name
Dva Healthcare Renal Care INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Apr 4, 2006
Last Updated
Jul 10, 2007

Practice Location

Address
700 AUGUSTA RD
ZIP Code
29824-1510
Phone
(803) 637-2257

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) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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Provider Name
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