NPI 1043289044

Dva Renal Healthcare INC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Dublin, GA

Practice location

Address: 2400 Bellevue Rd STE 8, Dublin, GA 31021-2856
Phone: (478) 272-5190
Fax: (478) 275-2433
Mailing address: 5200 Virginia Way L&c Dept, Brentwood, TN 37027-7569

Authorised official

Name: Samuel T Wey
Title: Vp, Licensure & Certification
Phone: (615) 341-6641

Registered specialties

End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QE0700X Licence ESRD001149 (GA)

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Registry record

NPI: 1043289044
Entity type: Organization
NPI issued: 14 Mar 2006
Record last updated: 2 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.