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
3734 MARTIN MILL PIKE, KNOXVILLE, TN 37920-2453
(865) 573-3944
(865) 579-6226
Mailing address
3734 MARTIN MILL PIKE, KNOXVILLE, TN 37920-2453
(865) 573-3944
(865) 579-6226
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0000000058
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4447969
—
TN
Enumeration date
06/30/2006
Last updated
10/04/2023
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