Dca of Central Valdosta LLC

NPI #1982667408 in Valdosta, Georgia

Provider Information

NPI Number: 1982667408
Entity Type: Organization
Organization Name: Dca of Central Valdosta LLC
Subpart: Yes (part of a larger organization)
Parent Organization: U S RENAL CARE INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Apr 7, 2006
Last Updated: Jun 21, 2018

Practice Location

Address: 506 N PATTERSON ST
City: Valdosta
State: Georgia
ZIP Code: 31601-4608
Phone: (229) 219-0099

Authorized Official

Name: MR. THOMAS L. WEINBERG
Title: VICE PRESIDENT & SECRETARY
Phone: (214) 736-2700

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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