Organization
RENAL TREATMENT CENTERS - MID-ATLANTIC, INC.
Active
Other names
Norfolk Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
962 NORFOLK SQ, NORFOLK, VA 23502-3235
(757) 461-0501
(757) 455-5011
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548224470
—
VA
Enumeration date
04/17/2006
Last updated
07/15/2024
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