Organization
TOTAL RENAL CARE INC
Active
Other names
Magnolia Oaks Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (VICE PRESIDENT)
(253) 382-1919
Entity
Organization
Contact information
Practice address
2377 HIGHWAY 196 W, HINESVILLE, GA 31313-8036
(912) 368-2710
(912) 368-2714
Mailing address
5200 VIRGINIA WAY, SUITE 400 - L&C DEPT., BRENTWOOD, TN 37027-7569
(615) 320-4286
(866) 594-2893
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000619561AK
—
GA
Enumeration date
01/26/2010
Last updated
07/19/2011
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