Organization
RENAL TREATMENT CENTERS MID ATLANTIC INC
Active
Other names
Spivey Peritoneal and Home 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
7444 HANOVER PKWY, STE 150, STOCKBRIDGE, GA 30281-7847
(770) 507-0988
(770) 389-9432
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
ESRD000797
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343784135A
—
GA
Enumeration date
07/07/2006
Last updated
07/14/2025
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