institution
Total Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Stockbridge, Georgia
NPI 1366646010

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 Stockbridge, GA. The NPI Number for Total Renal Care Inc is 1366646010 and holds a License No. ESRD000787 (Georgia).

The current practice location address for Total Renal Care Inc is 3546 Highway 138 Se, Stockbridge, GA and can be reached out via phone at 770-507-7169 and via fax at 678-289-9223.

Location: 3546 Highway 138 Se, Stockbridge, GA, 37027-7569
institution
Provider Profile Details
NPI Number
1366646010
Provider Name
Total Renal Care Inc
Credential
Provider Entity Type
Organization
Address
3546 Highway 138 Se, Stockbridge, GA, 37027-7569
Phone Number
770-507-7169
Fax Number
678-289-9223
Provider Enumeration Date
06/14/2007
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000619561W 05 GA
institution
Provider Business Practice Location Address Details
Address
3546 Highway 138 Se
City
State
Zip
30281-4170
Phone Number
770-507-7169
Fax Number
678-289-9223
person
Provider Business Mailing Address Details
Address
3546 Highway 138 Se
City
State
Zip
30281-4170
Phone Number
770-507-7169
Fax Number
678-289-9223
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
ESRD000787 (Georgia)
Definition
Definition to come...
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