institution
Renal Treatment Centers Mid Atlantic Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Milledgeville, Georgia
NPI 1962461152

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 Milledgeville, GA. The NPI Number for Renal Treatment Centers Mid Atlantic Inc is 1962461152 and holds a License No. ESRD001054 (Georgia).

The current practice location address for Renal Treatment Centers Mid Atlantic Inc is 400 S Wayne St, Milledgeville, GA and can be reached out via phone at 478-453-9489 and via fax at 478-453-3100.

Location: 400 S Wayne St, Milledgeville, GA, 37027-7569
institution
Provider Profile Details
NPI Number
1962461152
Provider Name
Renal Treatment Centers Mid Atlantic Inc
Credential
Provider Entity Type
Organization
Address
400 S Wayne St, Milledgeville, GA, 37027-7569
Phone Number
478-453-9489
Fax Number
478-453-3100
Provider Enumeration Date
03/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000478222A 05 GA
institution
Provider Business Practice Location Address Details
Address
400 S Wayne St
City
State
Zip
31061
Phone Number
478-453-9489
Fax Number
478-453-3100
person
Provider Business Mailing Address Details
Address
400 S Wayne St
City
State
Zip
31061
Phone Number
478-453-9489
Fax Number
478-453-3100
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
ESRD001054 (Georgia)
Definition
Definition to come...
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