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Organization

RENAL TREATMENT CENTERS-SOUTHEAST, LP.

Active
Other names
Greystone Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization

Contact information

Practice address
5406 HIGHWAY 280, SUITE D107, BIRMINGHAM, AL 35242-6592
(205) 981-2045
(205) 408-5116
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
S5904
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992134340
AL
Enumeration date
11/06/2013
Last updated
10/14/2025
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