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Organization

TOTAL RENAL CARE INC

Active
Other names
McDuffie 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
621 MCNEIL CIR, THOMSON, GA 30824-8060
(706) 595-3054
(706) 595-3907
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
ESRD000716
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003127823A
GA
01
11D2042984
CLIA
GA
Enumeration date
05/21/2012
Last updated
08/13/2025
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