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Renal Treatment Centers Mid Atlantic Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Moultrie, Georgia
NPI 1508825704

Renal Treatment Centers Mid Atlantic 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. Renal Treatment Centers Mid Atlantic Inc practices in Moultrie, GA. The NPI Number for Renal Treatment Centers Mid Atlantic Inc is 1508825704 and holds a License No. ESRD001016 (Georgia).

The current practice location address for Renal Treatment Centers Mid Atlantic Inc is 2419 S Main St, Moultrie, GA and can be reached out via phone at 229-890-1221 and via fax at 229-890-1226.

Location: 2419 S Main St, Moultrie, GA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508825704
Provider Name
Renal Treatment Centers Mid Atlantic Inc
Credential
Provider Entity Type
Organization
Address
2419 S Main St, Moultrie, GA, 37027-7569
Phone Number
229-890-1221
Fax Number
229-890-1226
Provider Enumeration Date
03/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000708419A 05 GA
institution
Provider Business Practice Location Address Details
Address
2419 S Main St
City
Moultrie
State
Georgia
Zip
31768
Phone Number
229-890-1221
Fax Number
229-890-1226
person
Provider Business Mailing Address Details
Address
2419 S Main St
City
Moultrie
State
Georgia
Zip
31768
Phone Number
229-890-1221
Fax Number
229-890-1226
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.
ESRD001016 (Georgia)
Definition
Definition to come...
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