Organization
RENAL TREATMENT CENTERS MID ATLANTIC INC
Active
Other names
North Georgia Dialysis Home
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O USILTON JR. (GROUP VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
11685 ALPHARETTA HWY, # 100, ROSWELL, GA 30076-4913
(678) 393-8144
(678) 393-8787
Mailing address
5200 VIRGINIA WAY, SUITE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 324-1638
(303) 209-7942
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001056
GA
Other
Enumeration date
03/17/2006
Last updated
10/05/2007
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