Dva Healthcare Renal Care INC
NPI #1447212451 in St Matthews, South Carolina
Provider Information
- NPI Number
- 1447212451
- Entity Type
- Organization
- Organization Name
- Dva Healthcare Renal Care INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Apr 5, 2006
- Last Updated
- Jul 11, 2007
Practice Location
- Address
- 602 N F R HUFF DR
- City
- St Matthews
- State
- South Carolina
- ZIP Code
- 29135-9596
- Phone
- (803) 655-7758
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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