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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
1101 KELLEY DR, PARIS, TN 38242-4580
(731) 644-0763
(731) 644-0751
Mailing address
1101 KELLEY DR, PARIS, TN 38242-4580
(731) 644-0763
(731) 664-0751

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0000000074
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0442562
TN
Enumeration date
07/08/2006
Last updated
10/05/2023
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