Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Other names
Majestic Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (SR DIRECTOR LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1510 EASTERN BLVD, MONTGOMERY, AL 36117-1629
(334) 260-8519
(334) 260-8371
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226213
—
AL
Enumeration date
03/05/2018
Last updated
08/22/2023
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