Georgia Dialysis For Adolescents And Pediatrics

LBN: Total Renal Care Inc
Georgia Dialysis For Adolescents And Pediatrics is an health care organization with primary practice located at 4434 Hugh Howell Rd , Tucker GA 30084-4905. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Total Renal Care Inc can be contacted via phone (770) 491-7187, or through Wey, Samuel via phone (615) 641-6641.

Contact Information

Primary practice address
4434 Hugh Howell Rd Tucker GA 30084-4905
Phone: (770) 491-7187
Fax: (770) 491-7192
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 641-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X ESRD000756 Georgia

Profile Details

NPI number 1992941736
LBN Legal business name Total Renal Care Inc
DBA Doing business as Georgia Dialysis For Adolescents And Pediatrics
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2008
Last updated Feb 16th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992941736 NPPES
Georgia MEDICAID 000619561AD
Georgia Other 11D1100178

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