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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
301 W BUTLER AVE, SALUDA, SC 29138-1309
(864) 529-3508
Mailing address
105 TRADD ST, SPARTANBURG, SC 29301-5085
(864) 529-3508
(864) 574-9629

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RE0016
SC
Enumeration date
07/24/2008
Last updated
10/04/2023
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