Organization
TOTAL RENAL CARE INC
Active
Other names
Athens East Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2026 S MILLEDGE AVE, STE A2, ATHENS, GA 30605-6480
(706) 549-3082
(706) 549-3802
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4268
(877) 238-0567
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD000782
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000828462C
—
GA
Enumeration date
09/12/2007
Last updated
01/29/2024
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