Dva Renal Healthcare INC

NPI #1376511550 in Douglas, Georgia

Provider Information

NPI Number
1376511550
Entity Type
Organization
Organization Name
Dva Renal Healthcare INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Mar 14, 2006
Last Updated
Mar 12, 2025

Practice Location

Address
190 WESTSIDE DR STE A
State
Georgia
ZIP Code
31533-3534
Phone
(912) 384-3439

Authorized Official

Name
SAMUEL T. WEY
Title
VP LICENSURE & CERTIFICATION
Phone
(615) 341-6641

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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