DCA OF HAWKINSVILLE LLC NPI 1124081559

NPI Information

DCA OF HAWKINSVILLE LLC is an end-stage renal disease (esrd) treatment clinic center in Hawkinsville, GA. DCA OF HAWKINSVILLE LLC NPI is 1124081559. The provider is registered as an organization entity type.
The provider Is Doing Business As U S Renal Care Hawkinsville Dialysis.

The provider's business location address is:

292 INDUSTRIAL BLVD
STE 100
HAWKINSVILLE, GA
ZIP 31036-002
Phone: (478) 892-8008
Fax: (478) 892-8040

The provider's authorized official is Thomas L Weinberg .
The authorized official title is Vice President & Secretary and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 11D0988956 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 6/21/2018.

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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