Organization
DIALYSIS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
100 W LAKE PROFESSIONAL PARK, SUITE 7, GENEVA, AL 36340-1203
(334) 684-0175
(334) 684-0368
Mailing address
1630 COLUMBIA HWY, DOTHAN, AL 36303-5434
(334) 793-3519
(334) 699-2860
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2014
Last updated
10/04/2023
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