Organization
RENAL TREATMENT CENTERS-SOUTHEAST LP
Active
Other names
Anniston 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
1612 NOBLE STREET, ANNISTON, AL 36201-3839
(256) 237-3794
(256) 238-6855
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
S0805
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152903
—
AL
Enumeration date
02/15/2013
Last updated
05/14/2024
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