NPI: 1114149614
Provider Name: DAVITA UPSTATE DIALYSIS
Other Name: UPSTATE DIALYSIS #382
Classification: Registered Nurse - 163WD1100X
Entity Type: Organization
Specialization: Dialysis, Peritoneal
Address:
308 MILLS AVENUE
GREENVILLE, SC
ZIP 29605
Phone: (864) 271-3700
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DAVITA UPSTATE DIALYSIS is a dialysis and peritoneal registered nurse in Greenville, SC. DAVITA UPSTATE DIALYSIS NPI is 1114149614. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Upstate Dialysis #382.
The provider's business location address is:
308 MILLS AVENUE
GREENVILLE, SC
ZIP 29605
Phone: (864) 271-3700
Fax: (864) 271-7929
The provider's authorized official is Cynthia J. Gayle .
The authorized official title is Facility Administrator and has the following contact phone number (864) 271-3700.
The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.