Organization
RENAL TREATMENT CENTERS MID ATLANTIC INC
Active
Other names
West Georgia Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1216 STARK AVE, COLUMBUS, GA 31906-2500
(706) 320-0103
(706) 320-1906
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001237
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000479476L
—
GA
Enumeration date
03/14/2006
Last updated
02/06/2026
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