Organization
RENAL TREATMENT CENTERS MID ATLANTIC INC
Active
Other names
Roanoke-Chowan Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
626 W MAIN ST, MURFREESBORO, NC 27855-1510
(252) 396-0572
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 320-4593
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306338306
—
NC
Enumeration date
06/05/2018
Last updated
06/16/2021
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