Organization
DVA RENAL HEALTHCARE, INC
Active
Organization
DVA RENAL HEALTHCARE, INC
Active
Other names
Piedmont Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
105 COLLIER RD NW, STE B, ATLANTA, GA 30309-1710
(404) 355-6055
(404) 352-8376
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4286
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001033
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000447587B
—
GA
Enumeration date
03/14/2006
Last updated
10/15/2015
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