Organization
RENAL TREATMENT CENTERS MID ATLANTIC INC
Active
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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