Organization
TOTAL RENAL CARE INC
Active
Other names
Peachtree City Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2830 W HIGHWAY 54, BUILDING 100 SUITE J&K, PEACHTREE CITY, GA 30269-1026
(678) 364-9165
(678) 364-9823
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
ESRD000751
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000619561AE
—
GA
Enumeration date
03/23/2009
Last updated
04/29/2024
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