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
7900 CEDAR CREST CAMP RD, LYLES, TN 37098-1978
(615) 327-3061
(615) 329-2513
Mailing address
1633 CHURCH ST, SUITE 500, NASHVILLE, TN 37203-2990
(615) 327-3061
(615) 329-2513
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442900
—
TN
05
—
3401937
—
TX
Enumeration date
07/13/2006
Last updated
10/05/2023
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