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
1816 HAMILL RD, HIXSON, TN 37343-4907
(423) 875-0020
(423) 870-2515
Mailing address
1816 HAMILL RD, HIXSON, TN 37343-4907
(423) 875-0020
(423) 870-2515
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0000000037
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00551856A
—
GA
05
—
044-2565
—
TN
05
—
05189779
—
MS
Enumeration date
07/08/2006
Last updated
10/04/2023
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