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Organization

RENAL TREATMENT CENTERS MID ATLANTIC INC

Active
Other names
Mebane Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL T. WEY AO (SR DIRECTOR LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization

Contact information

Practice address
616 N FIRST ST, MEBANE, NC 27302-2106
(919) 563-1052
(919) 563-1484
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 320-4593
(800) 293-5872

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
1821591967
NC
Enumeration date
03/15/2018
Last updated
08/30/2023
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