Organization
TOTAL RENAL CARE INC
Active
Other names
Greer South 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
3254 BRUSHY CREEK RD, GREER, SC 29650-1000
(864) 801-2065
(864) 801-2742
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(800) 293-5872
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ERD0162
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RE0022
—
SC
Enumeration date
05/13/2010
Last updated
10/04/2024
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