Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Southpoint Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAM T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6691
Entity
Organization
Contact information
Practice address
101 W WOODCROFT PKWY, DURHAM, NC 27713-9471
(919) 544-5536
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4593
(800) 293-5872
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
—
3402683
—
NC
Enumeration date
02/03/2011
Last updated
06/09/2025
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