DVA Renal Healthcare Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1922076157

DVA Renal Healthcare Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Homerville, 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.

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Practice location Address checks out

180 Carswell St Ste 180
Homerville, GA 31634-2413
Phone: (912) 487-0092
Fax: (912) 487-3533

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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 ESRD001179 (GA)

Record details

NPI number	1922076157
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Thomas Usilton — Group Vice President · (770) 541-7922
Other names	Homerville Dialysis
NPI enumerated	March 14, 2006
Last updated in NPPES	July 10, 2007
Mailing address	5200 Virginia Way, Suite 400 L&C Dept, Brentwood, TN 37027-7569