MEDICARE: DIALYSIS CLINIC INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BD1200X	Dialysis Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1427152552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIALYSIS CLINIC INC.

Provider Business Mailing Address
First Line	:	2911 FOSTER CREIGHTON DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-3705
Country	:	US
Telephone Number	:	615-255-0683
Fax Number	:	615-259-2242

Provider Business Practice Location Address
First Line	:	2911 FOSTER CREIGHTON DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-3705
Country	:	US
Telephone Number	:	615-255-0683
Fax Number	:	615-259-2242

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DONOVAN SCHULTZ JR.
Credential	:
Telephone Number	:	615-327-3061

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	10/04/2023

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Directions to “DIALYSIS CLINIC INC. ” Practice Location

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