Organization
RUTLEDGE DIALYSIS, LLC
Active
Other names
Tribble Mill 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
1719 NEW HOPE RD, LAWRENCEVILLE, GA 30045-6570
(470) 622-7112
(470) 622-7130
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
08/09/2024
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