DVA RENAL HEALTHCARE INC NPI 1134197296

NPI Information

DVA RENAL HEALTHCARE INC is an end-stage renal disease (esrd) treatment clinic center in Roswell, GA. DVA RENAL HEALTHCARE INC NPI is 1134197296. The provider is registered as an organization entity type.
The provider Is Doing Business As North Fulton Dialysis.

The provider's business location address is:

1250 N MEADOW PKWY STE 120
ROSWELL, GA
ZIP 30076-914
Phone: (770) 569-2888
Fax: (770) 569-2861

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 11D0908356 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 3/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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