Organization
TOTAL RENAL CARE
Active
Organization
TOTAL RENAL CARE
Active
Other names
DaVita Peritoneal Dialysis Program - Gregory
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O USILTON JR. (SR VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
400 PARK, GREGORY, SD 57533
(615) 320-4435
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027
(615) 320-4435
(303) 209-7821
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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