Dva Renal Healthcare, Inc.

NPI #1649233222 in Mc Minnville, Tennessee

Provider Information

NPI Number
1649233222
Entity Type
Organization
Organization Name
Dva Renal Healthcare, Inc.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Apr 6, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
835 SMITHVILLE HWY
Address 2
#15
ZIP Code
37110-1669
Phone
(931) 473-9553

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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