Organization
TOTAL RENAL CARE INC
Active
Other names
Nephrology Center of Statesboro
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
4B COLLEGE PLAZA, STATESBORO, GA 30458-4928
(912) 681-4028
(912) 871-3615
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4218
(303) 209-7825
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001071
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000619561C
—
GA
Enumeration date
03/20/2006
Last updated
12/19/2013
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