OrganizationActive
Davita Upstate Dialysis
NPI 1114149614 · Peritoneal Dialysis Registered Nurse · Greenville, SC
Provider details
- NPI number
- 1114149614
- Entity type
- Organization
- Primary specialty
- Peritoneal Dialysis Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Cynthia Gayle, Facility Administrator(864) 271-3700
- License
- ERD-098 (SC)
Specialties & taxonomies
Nursing Service Providers
Practice location
308 Mills Avenue
Greenville, SC 29605
Phone: (864) 271-3700
Fax: (864) 271-7929
Approximate (ZIP-level) locationGet directions
Mailing address
308 Mills Avenue
Greenville, SC 29605
Other names (DBA / former)
- Other name
- Upstate Dialysis #382
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.