Organization
TOTAL RENAL CARE INC
Active
Organization
TOTAL RENAL CARE INC
Active
Other names
Arbor Place 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
9559 HIGHWAY 5, STE 1, DOUGLASVILLE, GA 30135-1573
(678) 391-0993
(678) 391-0977
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD000762
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D1091874
CLIA CERTIFICATE OF WAIVER
GA
05
—
194972763A
—
GA
Enumeration date
05/08/2009
Last updated
08/14/2025
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