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
54 W AVON RD, AVON, CT 06001-3680
(860) 269-3370
(860) 269-3371
Mailing address
1633 CHURCH ST STE 500, NASHVILLE, TN 37203-2948
(615) 327-3061
(615) 329-2513
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
10/04/2023
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