Organization
RENAL TREATMENT CENTERS MID ATLANTIC INC
Active
Other names
Gainesville 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
2545 FLINTRIDGE RD, SUITE 130, GAINESVILLE, GA 30501-7428
(770) 536-7194
(770) 535-1597
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
ESRD001185
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000973134C
—
GA
05
—
1102689
—
NC
Enumeration date
03/14/2006
Last updated
10/30/2025
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