Organization
DIALYSIS CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
378 N DUPREE AVE, BROWNSVILLE, TN 38012-2332
(731) 668-0800
(731) 422-3133
Mailing address
378 N DUPREE AVE, BROWNSVILLE, TN 38012-2332
(731) 772-2151
(731) 422-3133
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0000000060
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442538
—
TN
Enumeration date
07/08/2006
Last updated
10/04/2023
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