1679542617 DVA RENAL HEALTHCARE INC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center

Active

Basic Information

Organization Name
DVA RENAL HEALTHCARE INC
Enumeration Date
March 14, 2006
Last Update
August 15, 2024
Authorized Official
SAMUEL WEY
VP LICENSURE & CERTIFICATION
Phone: (615) 341-6641

Practice Location

Address
1279 HIGHWAY 54 W STE 110
FAYETTEVILLE, GA 302144551
Phone
(678) 817-9974
Fax
(678) 817-9930

Mailing Address

Address
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD, TN 370277569
Phone
N/A

Specialties & Taxonomies

Specialty Code Classification License State Primary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
End-Stage Renal Disease (ESRD) Treatment
261QE0700X Clinic/Center ESRD001035 GA Primary

Other Identifiers

Identifier Type State Issuer
11D0952596 01 GA CLIA WAIVER
000818056A 05 GA N/A

Frequently Asked Questions

What is DVA RENAL HEALTHCARE INC's NPI number?
DVA RENAL HEALTHCARE INC's NPI number is 1679542617.
Which doctor has NPI number 1679542617?
The doctor with NPI number 1679542617 is DVA RENAL HEALTHCARE INC.
What is DVA RENAL HEALTHCARE INC's practice address?
DVA RENAL HEALTHCARE INC's practice address is 1279 HIGHWAY 54 W STE 110, FAYETTEVILLE, GA, 302144551.
Which doctor practices at 1279 HIGHWAY 54 W STE 110, FAYETTEVILLE, GA, 302144551?
DVA RENAL HEALTHCARE INC practices at 1279 HIGHWAY 54 W STE 110, FAYETTEVILLE, GA, 302144551.
What is DVA RENAL HEALTHCARE INC's mailing address?
DVA RENAL HEALTHCARE INC's mailing address is 5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN, 370277569.
What is DVA RENAL HEALTHCARE INC's phone number?
DVA RENAL HEALTHCARE INC's phone number is (678) 817-9974.
Who is (678) 817-9974?
(678) 817-9974 is the phone number for DVA RENAL HEALTHCARE INC.
What is DVA RENAL HEALTHCARE INC's specialty?
DVA RENAL HEALTHCARE INC's specialty is End-Stage Renal Disease (ESRD) Treatment Clinic/Center.
What type of doctor is DVA RENAL HEALTHCARE INC?
DVA RENAL HEALTHCARE INC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center.
Is DVA RENAL HEALTHCARE INC a End-Stage Renal Disease (ESRD) Treatment?
Yes, DVA RENAL HEALTHCARE INC is a End-Stage Renal Disease (ESRD) Treatment.
Is DVA RENAL HEALTHCARE INC still practicing?
Yes, DVA RENAL HEALTHCARE INC is currently practicing.
Is DVA RENAL HEALTHCARE INC accepting new patients?
DVA RENAL HEALTHCARE INC may be accepting new patients. Please call their office at (678) 817-9974 to inquire about availability.
Is NPI 1679542617 still active?
Yes, NPI 1679542617 is currently active.
Where does DVA RENAL HEALTHCARE INC practice?
DVA RENAL HEALTHCARE INC practices in FAYETTEVILLE, GA.