Organization
TOTAL RENAL CARE INC
Active
Other names
Union City Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
6851 SHANNON PKWY, STE 200, UNION CITY, GA 30291-2049
(770) 774-9033
(770) 774-3189
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4268
(877) 238-0567
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD000783
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00619561X
—
GA
Enumeration date
09/11/2007
Last updated
06/01/2020
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