Organization
TOTAL RENAL CARE INC
Active
Other names
Pooler Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VPLICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
54 TRADERS WAY, POOLER, GA 31322-4158
(912) 748-1018
(912) 748-4187
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
ESRD000772
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000619561AH
—
GA
Enumeration date
12/28/2009
Last updated
07/02/2025
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