DVA HEALTHCARE RENAL CARE INC

NPI # 

Practice Address:

1065 Us Highway 19 N

Thomaston, GA, 30286-2230

Practice Phone:

706-648-6364

Practice Fax:

706-648-3505

License Number:

ESRD001115

License State:

GA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code:

261QE0700X