Organization
RENAL TREATMENT CENTERS MID ATLANTIC INC
Active
Other names
First Landing Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O USILTON JR. (GROUP VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
1745 CAMELOT DR, STE 100, VIRGINIA BEACH, VA 23454-2435
(757) 496-2300
(757) 496-3490
Mailing address
5200 VIRGINIA WAY, STE 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4926129
—
VA
Enumeration date
04/14/2006
Last updated
01/29/2008
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