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Organization

TOTAL RENAL CARE INC

Active
Other names
Nephrology Center of South Augusta
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization

Contact information

Practice address
1631 GORDON HWY, STE 1B, AUGUSTA, GA 30906
(706) 790-8300
(706) 790-9944
Mailing address
5200 VIRGINIA WAY, 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
ESRD000997
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000891723A
GA
05
125608
SC
Enumeration date
03/17/2006
Last updated
07/19/2022
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