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Renal Treatment Centers - Mid-atlantic, Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Forest Park, Georgia
NPI 1760451678

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 Forest Park, GA. The NPI Number for Renal Treatment Centers - Mid-atlantic, Inc. is 1760451678 and holds a License No. ESRD001186 (Georgia).

The current practice location address for Renal Treatment Centers - Mid-atlantic, Inc. is 380 Forest Pkwy Ste C, Forest Park, GA and can be reached out via phone at 404-361-0646 and via fax at 404-361-0727.

Location: 380 Forest Pkwy Ste C, Forest Park, GA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760451678
Provider Name
Renal Treatment Centers - Mid-atlantic, Inc.
Credential
Provider Entity Type
Organization
Address
380 Forest Pkwy Ste C, Forest Park, GA, 37027-7569
Phone Number
404-361-0646
Fax Number
404-361-0727
Provider Enumeration Date
03/14/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1791628 05 LA
000905374A 05 GA
institution
Provider Business Practice Location Address Details
Address
380 Forest Pkwy Ste C
City
Forest Park
State
Georgia
Zip
30297-2107
Phone Number
404-361-0646
Fax Number
404-361-0727
person
Provider Business Mailing Address Details
Address
380 Forest Pkwy Ste C
City
Forest Park
State
Georgia
Zip
30297-2107
Phone Number
404-361-0646
Fax Number
404-361-0727
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.
ESRD001186 (Georgia)
Definition
Definition to come...
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