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
46 MARKFIELD DR # BM, CHARLESTON, SC 29407-6942
(843) 723-7227
(843) 766-2319
Mailing address
46 MARKFIELD DR # BM, CHARLESTON, SC 29407-6942
(843) 766-2317
(843) 766-2319
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ERD-008
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422513
—
SC
Enumeration date
07/08/2006
Last updated
10/04/2023
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