Organization
RENAL TREATMENT CENTERS - MID-ATLANTIC, INC.
Active
Other names
Jonesboro 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
1595 STOCKBRIDGE RD, JONESBORO, GA 30236-3742
(678) 833-1921
(678) 833-1943
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001064
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000407437A
—
GA
05
—
1791806
—
LA
Enumeration date
03/14/2006
Last updated
04/28/2026
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