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Organization

TOTAL RENAL CARE INC

Active
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Organization

TOTAL RENAL CARE INC

Active
Other names
Pamplico Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL T WEY (SR DIRECTOR LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization

Contact information

Practice address
1520 FLAG DR, FLORENCE, SC 29505-2854
(843) 413-0857
(843) 413-0864
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4593
(800) 293-5872

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ERD-0207
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ERD-0207
STATE LICENSE
SC
05
RE0055
SC
Enumeration date
04/25/2013
Last updated
09/26/2023
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