Hemodialysis Assoc Pc

NPI 1013004043

Information of Hemodialysis Assoc Pc

The NPI 1013004043 is an Organization type. NPI No 1013004043 belongs to Hemodialysis Assoc Pc. Hemodialysis Assoc Pc specializes in End-Stage Renal Disease (ESRD) Treatment. is practising at 3335 S Crater Rd, Petersbury, Virginia 23805. You can also contact him via phone number (804) 862-5261.

Practice address located

  • 3335 S Crater Rd
  • Petersbury, Virginia 23805
  • (804) 862-5261
  • (804) 862-5261

Mailling address located

  • 425 Sandhurst Dr
  • Petersburg, Virginia 23805
  • (804) 861-9555
  • (804) 861-9555
NPI No 1013004043
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes261QE0700XEnd-Stage Renal Disease (ESRD) Treatmentn/an/a
Identifier for this provider
StateIdentifierTypeIssuer
n/a005522OtherANTHEM BC/BS
VA8915229Medicaidn/a
VAC00903Medicare PINn/a
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