Organization
ROYALE DIALYSIS LLC
Active
Other names
Kennestone 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
200 COBB PKWY N, STE 318, MARIETTA, GA 30062-3558
(678) 797-1110
(678) 797-1176
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
ESRD000764
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095458802A
—
GA
Enumeration date
07/09/2008
Last updated
08/26/2025
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