Provider First Line Business Practice Location Address:
THE KIDNEY CENTER UVA HOSPITAL W
Provider Second Line Business Practice Location Address:
HOSPITAL DRIVE, 5TH FLOOR
Provider Business Practice Location Address City Name:
CHARLOTTESVILLE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22908-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-924-1894
Provider Business Practice Location Address Fax Number:
434-924-5848
Provider Enumeration Date:
02/20/2007