Organization
TOTAL RENAL CARE INC
Active
Other names
Palmetto 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
317 PROFESSIONAL PARK RD, CLINTON, SC 29325-7625
(864) 833-0717
(864) 833-6020
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
ERD0126
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RE0024
—
SC
Enumeration date
05/13/2010
Last updated
03/25/2025
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