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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
870 W CHURCH ST, SUITE C, LEXINGTON, TN 38351-1741
(731) 968-2513
(731) 968-2514
Mailing address
870 W CHURCH ST, SUITE C, LEXINGTON, TN 38351-1741
(731) 968-2513
(731) 968-2514

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0000000152
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
044 2661
TN
Enumeration date
07/08/2006
Last updated
10/05/2023
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