Organization
RENAL TREATMENT CENTERS - MID-ATLANTIC, INC.
Active
Other names
Dan River 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
145 HOLT GARRISON PKWY STE 340, DANVILLE, VA 24540-5956
(434) 425-7049
(434) 425-7070
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306492848
—
VA
Enumeration date
08/12/2019
Last updated
04/21/2025
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