Dva Healthcare of Tuscaloosa LLC

NPI #1902879117 in Fayette, Alabama

Provider Information

NPI Number: 1902879117
Entity Type: Organization
Organization Name: Dva Healthcare of Tuscaloosa LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Feb 8, 2006
Last Updated: Feb 21, 2024

Practice Location

Address: 2450 TEMPLE AVE N
City: Fayette
State: Alabama
ZIP Code: 35555-1160
Phone: (205) 932-8500

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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