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
505 WEST MAIN STREET, WAVERLY, TN 37185
(615) 446-0111
(615) 446-5283
Mailing address
100 ACADEMY ST, DICKSON, TN 37055-2014
(615) 446-0111
(615) 446-5283
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2014
Last updated
10/04/2023
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