Organization
TOTAL RENAL CARE INC
Active
Other names
Town Park Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
401 TOWN PARK BLVD, EVANS, GA 30809-3487
(706) 854-9502
(706) 855-9982
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003182160A
—
GA
Enumeration date
05/04/2016
Last updated
05/19/2025
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