Organization
TOTAL RENAL CARE INC
Active
Other names
McDonough Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
114 DUNN ST, MCDONOUGH, GA 30253-2347
(770) 898-4999
(770) 898-0059
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
ESRD001157
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000828462A
—
GA
Enumeration date
03/14/2006
Last updated
03/31/2025
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