Davita Upstate Dialysis

Organization Peritoneal Dialysis Registered Nurse · NPI 1114149614

Davita Upstate Dialysis is a Peritoneal Dialysis Registered Nurse in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in: SC
In the registry since: 2007

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Practice location Address checks out

308 Mills Ave
Greenville, SC 29605
Phone: (864) 271-3700
Fax: (864) 271-7929

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peritoneal Dialysis Registered Nurse (primary)	Taxonomy 163WD1100X · Licence ERD-098 (SC)

Record details

NPI number	1114149614
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Cynthia Gayle — Facility Administrator · (864) 271-3700
Other names	Upstate Dialysis #382
NPI enumerated	May 3, 2007
Last updated in NPPES	August 22, 2020
Mailing address	308 Mills Avenue, Greenville, SC 29605