DVA Renal Healthcare Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1144298373

DVA Renal Healthcare Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Montezuma, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in: GA
In the registry since: 2006

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

114 Devaughn Ave
Montezuma, GA 31063-1708
Phone: (478) 472-7099
Fax: (478) 472-7128

Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary)	Taxonomy 261QE0700X · Licence ESRD001219 (GA)

Record details

NPI number	1144298373
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	John Winstel — Chief Accounting Officer · (253) 733-4501
Other names	Montezuma Dialysis; Montezuma Dialysis
NPI enumerated	March 14, 2006
Last updated in NPPES	September 11, 2020
Certification date	September 11, 2020
Mailing address	5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569