Organization
RENAL TREATMENT CENTERS - MID-ATLANTIC, INC.
Active
Other names
Williamsburg Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
500 SENTARA CIR, STE 103, WILLIAMSBURG, VA 23188-5727
(757) 206-1408
(757) 206-1418
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
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265559769
—
VA
Enumeration date
03/22/2007
Last updated
10/17/2024
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