Organization
RENAL TREATMENT CENTERS MID ATLANTIC INC
Active
Other names
COLUMBUS 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
6228 BRADLEY PARK DR, STE B, COLUMBUS, GA 31904-3604
(706) 596-8222
(706) 596-8381
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
ESRD001098
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000728142A
—
GA
Enumeration date
03/14/2006
Last updated
09/29/2025
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