Organization
TOTAL RENAL CARE INC
Active
Other names
Albany 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
244 CORDELE RD STE 165, ALBANY, GA 31705-2412
(229) 446-6412
(229) 483-7806
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
—
003182524A
—
GA
01
—
11D2119662
CLIA WAIVER
GA
Enumeration date
06/27/2016
Last updated
09/25/2025
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