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Total Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Stone Mountain, Georgia
NPI 1093808834

Total Renal Care Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, GA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Total Renal Care Inc practices in Stone Mountain, GA. The NPI Number for Total Renal Care Inc is 1093808834 and holds a License No. ESRD000795 (Georgia).

The current practice location address for Total Renal Care Inc is 5235 Memorial Dr, Stone Mountain, GA and can be reached out via phone at 404-296-1344 and via fax at 404-296-4706.

Location: 5235 Memorial Dr, Stone Mountain, GA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093808834
Provider Name
Total Renal Care Inc
Credential
Provider Entity Type
Organization
Address
5235 Memorial Dr, Stone Mountain, GA, 37027-7569
Phone Number
404-296-1344
Fax Number
404-296-4706
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000619561T 05 GA
institution
Provider Business Practice Location Address Details
Address
5235 Memorial Dr
City
Stone Mountain
State
Georgia
Zip
30083-3112
Phone Number
404-296-1344
Fax Number
404-296-4706
person
Provider Business Mailing Address Details
Address
5235 Memorial Dr
City
Stone Mountain
State
Georgia
Zip
30083-3112
Phone Number
404-296-1344
Fax Number
404-296-4706
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
ESRD000795 (Georgia)
Definition
Definition to come...
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