Organization
RENAL TREATMENT CENTERS MID ATLANTIC INC
Active
Other names
Wheaton Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
11941 GEORGIA AVE, WHEATON, MD 20902-2001
(301) 949-9620
(301) 949-9783
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
E2576
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102576
—
NC
05
—
745189000
—
MD
Enumeration date
03/28/2006
Last updated
04/15/2026
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