Total Renal Care INC

NPI #1720242779 in Vidalia, Georgia

Provider Information

NPI Number: 1720242779
Entity Type: Organization
Organization Name: Total Renal Care INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Jul 17, 2008
Last Updated: Feb 26, 2025

Practice Location

Address: 906 E 1ST ST
City: Vidalia
State: Georgia
ZIP Code: 30474-4207
Phone: (912) 538-8908

Authorized Official

Name: SAMUEL T WEY
Title: VP LICENSURE & CERTIFICATION
Phone: (615) 341-6641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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