Organization
TOTAL RENAL CARE INC
Active
Other names
Nephrology Center of Waynesboro
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (GROUP VICE PRESIDENT)
(253) 733-4500
Entity
Organization
Contact information
Practice address
163 S LIBERTY ST, WAYNESBORO, GA 30830-4580
(706) 554-4668
(706) 554-5175
Mailing address
5200 VIRGINIA WAY, SUITE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4218
(303) 209-7825
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD001073
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000619561A
—
GA
Enumeration date
03/20/2006
Last updated
12/19/2013
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