Organization
TOTAL RENAL CARE INC
Active
Other names
Troup County 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
140 GLENN BASS RD, LAGRANGE, GA 30240-5809
(706) 882-0193
(706) 882-1895
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000409186A
—
GA
01
—
11D0710095
CLIA
GA
Enumeration date
03/09/2012
Last updated
08/19/2025
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