Organization
TOTAL RENAL CARE INC
Active
Other names
North Henry 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
3546 HIGHWAY 138 SE, STE 150, STOCKBRIDGE, GA 30281-4170
(770) 507-7169
(678) 289-9223
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
ESRD000787
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000619561W
—
GA
Enumeration date
06/14/2007
Last updated
03/03/2026
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