DVA Renal Healthcare Inc
DVA Renal Healthcare Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Decatur, 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.
Practice location Address checks out
1840 Southern LnDecatur, GA 30033-4033
Phone: (404) 325-8884
Fax: (404) 325-8879
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 ESRD001004 (GA) |
|---|
Record details
| NPI number | 1770551905 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Winstel — Chief Accounting Officer · (253) 733-4501 |
| Other names | Southern Lane Dialysis; Southern Lane Dialysis |
| NPI enumerated | March 14, 2006 |
| Last updated in NPPES | April 1, 2020 |
| Certification date | April 1, 2020 |
| Mailing address | 5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569 |
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Dsi Dekalb, LLC
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DVA Healthcare Renal Care Inc
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Emory Dialysis, LLC
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Georgia Nephrology, LLC
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