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
173 PATTY HILL ROAD, CARYVILLE, TN 37714
(423) 566-1487
(423) 566-1489
Mailing address
3734 W MARTIN MILL PIKE, KNOXVILLE, TN 37920-2453
(865) 573-3944
(865) 579-6226
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2018
Last updated
10/05/2023
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