Trc - Petersburg LLC
NPI #1366406613 in Petersburg, Virginia
Provider Information
- NPI Number
- 1366406613
- Entity Type
- Organization
- Organization Name
- Trc - Petersburg LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Apr 13, 2006
- Last Updated
- Nov 12, 2025
Practice Location
- Address
- 20 MEDICAL PARK BLVD
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23805-9280
- Phone
- (804) 861-0967
Authorized Official
- Name
- SAMUEL T WEY
- Title
- VP LICENSURE & CERTIFICATION
- Phone
- (615) 341-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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