Organization
RENAL TREATMENT CENTERS - MID-ATLANTIC, INC.
Active
Organization
RENAL TREATMENT CENTERS - MID-ATLANTIC, INC.
Active
Other names
Southstar Adamsville 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
3651 BAKERS FERRY RD SW, ATLANTA, GA 30331-3712
(404) 472-1856
(404) 472-3970
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
ESRD000784
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000479476O
—
GA
Enumeration date
06/11/2007
Last updated
04/24/2025
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