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
1325 WRIGHT AVENUE, STE B, CROWLEY, LA 70526
(337) 788-2864
(337) 788-2866
Mailing address
1633 CHURCH ST, SUITE 500, NASHVILLE, TN 37203-2990
(615) 327-3061
(615) 329-2513
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
023015
LA
Other
Enumeration date
07/06/2006
Last updated
10/04/2023
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