DAVITA TIDEWATER - VIRGINIA BEACH, LLC

VIRGINIA BEACH, VA
NPI1710066428
Doing Business AsCAMELOT DIALYSIS
Entity TypeOrganization
Authorized ContactTHOMAS O USILTON
Sr Vice President
770-541-7922
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2006-11-03
Last Update Date2020-08-22
Business Address
DAVITA TIDEWATER - VIRGINIA BEACH, LLC
1800 CAMELOT DR STE 100
VIRGINIA BEACH, VA 23454-2440
Phone number: 757-481-6879
Mailing Address
DAVITA TIDEWATER - VIRGINIA BEACH, LLC
5200 VIRGINIA WAY STE 400 L&C
BRENTWOOD, TN 37027-7569
Phone number: 615-320-4218