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
121 PEARL ST, MINDEN, LA 71055-3335
(318) 226-1020
(318) 424-1175
Mailing address
1633 CHURCH ST STE 500, NASHVILLE, TN 37203-2948
(615) 327-3061
(615) 963-9730
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
10/05/2023
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