institution
Total Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Douglasville, Georgia
NPI 1740414507

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 Douglasville, GA. The NPI Number for Total Renal Care Inc is 1740414507 and holds a License No. ESRD000762 (Georgia).

The current practice location address for Total Renal Care Inc is 9559 Highway 5, Douglasville, GA and can be reached out via phone at 678-391-0993 and via fax at 678-391-0977.

Location: 9559 Highway 5, Douglasville, GA, 37027-7569
institution
Provider Profile Details
NPI Number
1740414507
Provider Name
Total Renal Care Inc
Credential
Provider Entity Type
Organization
Address
9559 Highway 5, Douglasville, GA, 37027-7569
Phone Number
678-391-0993
Fax Number
678-391-0977
Provider Enumeration Date
05/08/2009
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
194972763A 05 GA
11D1091874 01 GA CLIA CERTIFICATE OF WAIVER
institution
Provider Business Practice Location Address Details
Address
9559 Highway 5
City
State
Zip
30135-1573
Phone Number
678-391-0993
Fax Number
678-391-0977
person
Provider Business Mailing Address Details
Address
9559 Highway 5
City
State
Zip
30135-1573
Phone Number
678-391-0993
Fax Number
678-391-0977
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
ESRD000762 (Georgia)
Definition
Definition to come...
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