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
176 WASHINGTON AVENUE EXT, SUITE 100, ALBANY, NY 12203-5300
(518) 456-2429
(518) 456-2959
Mailing address
1633 CHURCH ST, SUITE 500, NASHVILLE, TN 37203-2990
(615) 327-3061
(615) 379-2513
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2011
Last updated
10/04/2023
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