Organization
RENAL TREATMENT CENTERS - MID-ATLANTIC, INC.
Active
Parent organization
DAVITA INC
Other names
Douglas Home Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVITA INC
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
1345 BOWENS MILL RD SE STE D, DOUGLAS, GA 31533-1534
(229) 635-6070
(229) 635-5439
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 320-4283
(800) 320-3933
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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