Dva Healthcare Renal Care INC

NPI #1518929546 in Winnsboro, South Carolina

Provider Information

NPI Number
1518929546
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
Apr 20, 2008

Practice Location

Address
1134 KINCAID BRIDGE RD
Address 2
STE A
ZIP Code
29180-7116
Phone
(803) 635-6096

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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