Organization
RENAL TREATMENT CENTERS MID ATLANTIC INC
Active
Other names
Milledgeville 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
400 S WAYNE ST, MILLEDGEVILLE, GA 31061-3446
(478) 453-9489
(478) 453-3100
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
ESRD001054
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000478222A
—
GA
Enumeration date
03/17/2006
Last updated
06/19/2025
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