institution
Total Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Locust Grove, Georgia
NPI 1326456518

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 Locust Grove, GA. The NPI Number for Total Renal Care Inc is 1326456518 and holds a License No. (Georgia).

The current practice location address for Total Renal Care Inc is 521 Stanley K. Tanger Blvd, Locust Grove, GA and can be reached out via phone at 770-914-1432 and via fax at 770-957-7565.

Location: 521 Stanley K. Tanger Blvd, Locust Grove, GA, 37027-7569
institution
Provider Profile Details
NPI Number
1326456518
Provider Name
Total Renal Care Inc
Credential
Provider Entity Type
Organization
Address
521 Stanley K. Tanger Blvd, Locust Grove, GA, 37027-7569
Phone Number
770-914-1432
Fax Number
770-957-7565
Provider Enumeration Date
07/31/2014
Last Update Date
10/19/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
003155382A 05 GA
11D2081984 01 GA CLIA
institution
Provider Business Practice Location Address Details
Address
521 Stanley K. Tanger Blvd
City
State
Zip
30248-2591
Phone Number
770-914-1432
Fax Number
770-957-7565
person
Provider Business Mailing Address Details
Address
521 Stanley K. Tanger Blvd
City
State
Zip
30248-2591
Phone Number
770-914-1432
Fax Number
770-957-7565
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
(Georgia)
Definition
Definition to come...
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