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Organization

SOUTHWEST LOUISIANA RENAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization

Contact information

Practice address
1325 WRIGHT AVE, SUITE B, CROWLEY, LA 70526-2226
(337) 788-2864
(337) 788-2866
Mailing address
1633 CHURCH ST, SUITE 500, NASHVILLE, TN 37203-2990
(615) 327-3061

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
04/11/2014
Last updated
08/11/2023
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