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
8 PRESNELL CIRCLE, BEAUFORT, SC 29902-6949
(843) 521-4300
(843) 521-4302
Mailing address
1411 KING ST, CHARLESTON, SC 29403-3008
(843) 723-7227
(843) 723-7404
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ERD132
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422590
—
SC
05
—
ERD132
—
SC
Enumeration date
07/08/2006
Last updated
10/04/2023
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