Organization
TOTAL RENAL CARE INC.
Active
Other names
Flint River 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
700 GORDON AVE, BAINBRIDGE, GA 39819-5713
(229) 246-0173
(229) 246-0177
Mailing address
5200 VIRGINIA WAY, 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
—
003214579A
—
GA
Enumeration date
10/24/2017
Last updated
07/07/2025
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