Organization
TOTAL RENAL CARE INC
Active
Other names
Satilla River Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
308 CARSWELL AVE, WAYCROSS, GA 31501-4762
(912) 285-1663
(912) 285-3078
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
ESRD000754
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003104403A
—
GA
Enumeration date
09/01/2009
Last updated
09/17/2025
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