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Organization

DCA OF ROYSTON LLC

Active
Parent organization
U S RENAL CARE INC
Other names
U S Renal Care Royston Dialysis
Organization subpart
Yes

Provider details

NPI number
Legal business name
U S RENAL CARE INC
Authorized official
MR. THOMAS L WEINBERG (VICE PRESIDENT & SECRETARY)
(214) 736-2700
Entity
Organization

Contact information

Practice address
611 COOK ST, ROYSTON, GA 30662-3933
(706) 245-0817
(706) 245-6450
Mailing address
PO BOX 713158, CINCINNATI, OH 45271-3158
(870) 931-5400
(870) 931-5418

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
000961914A
GA
Enumeration date
04/07/2006
Last updated
10/25/2013
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