Organization
TOTAL RENAL CARE INC
Active
Other names
Colonial Springs Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
2840 E WEST CONNECTOR STE 350, AUSTELL, GA 30106-6852
(770) 222-2236
(770) 222-4907
Mailing address
5200 VIRGINIA WAY, L&C DEPT., BRENTWOOD, TN 37027-7569
(615) 320-4268
(877) 238-0567
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD000741
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003104433A
—
GA
01
—
11D2003406
CLIA
GA
Enumeration date
11/04/2009
Last updated
06/01/2020
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